1. Do you have any of the following new or worsening symptoms or signs?

* New or worsening cough       Yes  No

* Shortness of breath      Yes  No

* Sore throat      Yes  No

* Runny nose, sneezing or nasal congestion (in absence of underlying reasons

for symptoms such as seasonal allergies and post nasal drip)       Yes  No

* Hoarse voice      Yes  No

* Difficulty swallowing      Yes  No

* New smell or taste disorder(s)      Yes  No

* Nausea/vomiting, diarrhea, abdominal pain      Yes  No

* Unexplained fatigue/malaise      Yes  No

* Chills      Yes  No

* Headache      Yes  No

2. Do you have a fever?  Yes  No

3. Have you had close contact with anyone with respiratory illness or a confirmed or probable case of COVID-19?  Yes – go to question 5  No – screening complete 5.

4. Did you wear the required and/or recommended PPE according to the type of duties you were performing (e.g., goggles, gloves, mask and gown or N95 with aerosol generating medical procedures (AGMPs)) when you had close contact with a suspected or confirmed case of COVID-19?  Yes  No

Patients are required to read and acknowledge the above and email us back with the following:  ” I HAVE READ AND ACKNOWLEDGE THAT I DO NOT HAVE ANY OF THE SYMPTOMS LISTED ”  If you answer YES to any of the screening questions, you must wait 14 days until your visit. 

Other public health precautions at the clinic include:

–  A plexiglass barrier will be in place around the reception desk.
–  Hand sanitizer will be made available for patients.
–  Patients are required to wear a mask before entering the clinic.
–  Waiting area will not be accessible.  Patients are required to wait outside the office doors until the receptionist calls you in for your visit.
–  Visits are spaced out between each appointment so that the area may be properly cleaned and sanitized.
–  Payments are credit or debit only.
–  Receipts/Invoices will be emailed.
–  Water cooler will not be accessible.
–  Washroom will not be accessible.