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. 

Screening Questions:


1. Have you traveled outside of Canada in the past 14 days?

2. Have you tested positive for COVID-19 or had close contact with a confirmed case of COVID-19 without wearing appropriate PPE?

3. Do you have any of the following symptoms?

• Fever

• New onset of cough

• Worsening chronic cough

• Shortness of breath

• Difficulty breathing

• Sore throat

• Difficulty swallowing

• Decrease of loss of sense of taste or smell

• Chills

• Headaches

• Unexplained fatigue/malaise/muscle aches (myalgias)

• Nausea/vomiting, diarrhea, abdominal pain

• Pink eye (conjunctivitis)

• Runny nose or nasal congestion without other known cause



If you are 70 years of age or older, are you experiencing any of the following symptoms?

• Delirium

• Unexplained or increased number of falls

• Acute functional decline

• Worsening of chronic conditions


COVID-19 Screening Results

If response to ALL of the screening questions is NO: COVID Screen Negative

If response to ANY of the screening questions is YES: COVID Screen Positive


If you screen Positive, you must reschedule your appointment to at least 14 days from now.


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.