preventing-new-coronavirus-covid-19-dise
COVID-19 Screening Tool
To keep you, other clients and therapists safe, we are following public health recommendations and requiring that every client be assessed for COVID-19 symptoms and risk factors before entering our office.
Please take a moment to answer the following questions. Rita will contact you before your appointment.

Thank you!

Rita will contact you once she reviews your responses.

COVID-19 Screening Tool
To keep you, other clients and therapists safe, we are following public health recommendations and requiring that every client be assessed for COVID-19 symptoms and risk factors before entering our office.

Prior to your appointment please take a moment to answer the following questions:
Have you had any signs or symptoms of a fever in the past 24 hours such as chills, sweats, felt "feverish" or had a temperature of 38° C or greater?
Do you have any of the following symptoms? Cough, Shortness of Breath, Chest Tightness, Sore Throat, Nasal Congestion/Runny Nose, Body Aches, Loss of Taste and/or Smell, Diarrhea, Nausea, Vomiting, Fever/Chills/Sweats
In the last 14 days, have you been identified as a “close contact” of someone who currently has COVID-19?
Have you travelled outside of Ontario in the last 14 days? Or, have you had any close contact in the last 14 days with someone with a suspected or confirmed diagnosis of COVID-19?
In the last 14 days, have you been identified as a "close contact" (less than 2 metres apart in the same room) with someone who either: is currently sick with a new cough, fever, difficulty breathing, or other symptoms associated with COVID-19; returned from outside of Canada in the last 2 weeks?
Are you scheduled for a COVID-19 test or awaiting the results of a COVID-19 test?

Thank you! Rita will contact you once she reviews your responses.