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.
