Steve Abma COVID-19 Scree... | abmacounselling2

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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. Steve will contact you before your appointment.

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?

Yes

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

Yes

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?

Yes

Thank you!

Steve will contact you once he 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.

​

Please take a moment to answer the following questions. Steve will contact you before your appointment.