COVID-19 Screening Questions. Must be completed before EVERY appointment, once via email or phone the day before your appointment and again the day of your appointment with your therapist. 

COVID-19 Screening Questions:


1: Do you have any of the following symptoms?


• Fever and/or chills

• New onset of cough or worsening chronic cough

• Shortness of breath

• Decrease or loss of sense of taste or smell

• If adult >18 years of age: unexplained fatigue/lethargy malaise muscle aches (myalgias)

• If child <18 years of age: nausea/vomiting, diarrhea


2: Have you tested positive for COVID-19 in the past 10 days or have you been

told you should be isolating?


3: Did you receive your final (or second) vaccination dose more than 14 days ago?

  • “No” to the above question please answer 4 and 5.

  • ** you may still attend your appointment as long as Q 1, 2, 4, 5 are all NO.

  • “Yes” to the above question your COVID Screen Negative and may attend your appointment.


4: Did you travel outside of Canada in the past 14 days?


5: Have you had close contact with a confirmed case of COVID-19 without wearing appropriate PPE?


COVID-19 Screening Results

If response to Q1, 2, 4, 5 of the screening questions is NO: COVID Screen Negative

If response to ANY of the screening questions Q 1, 2, 4, 5 is YES: COVID Screen Positive and you must reschedule your appointment until such time that you screen negative.


By attending my appointment I give consent to have my name and phone number added to the clinic contact tracing log should the Ministry of Health require it.