Have you been experiencing any of the following symptoms ?
2. Nasal congestion or runny nose?
4. Fever above 38 degrees Celsius?
7. Shortness of breath or difficulty breathing?
8. Loss or reduced sense of taste or smell?
In the last 2 weeks:
9. Have you been in contact with someone experiencing symptoms?
10. Have you been in contact with someone who appears to have COVID-19?
11. Have you been in contact with someone who has been diagnosed with COVID-19?
12. Have you travelled outside Canada in the last two weeks?
If you answer yes to any of these questions, we will
ask you to postpone your appointment for 4 weeks. As
well if you appear to have symptoms after
appointment please contact us.
By signing you acknowledge you have read all of the
above questions and truthfully answered.