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COVID Info.
Visitor Screening
COVID-19 Visitor Screening
Determine whether or not a visitor can enter the premise based on recent actions pertaining to COVID.
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Please enter your name
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First Name
Last Name
Phone
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Email
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Are you fully vaccinated against COVID-19 and possess proof of vaccination?
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14 days or more must have elapsed since your final dose to be considered fully vaccinated.
Yes
No
Have you received a booster dose of the vaccine?
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This will be your third vaccination shot.
Yes
No
Have you tested positive for COVID-19 within the last 90 days?
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Select no if you have been medically cleared.
Yes
No
Have you travelled outside of Canada in the last 14 days and been instructed to quarantine per federal regulatation?
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Yes
No
Have you been instructed by a medical professional to isolate or stay at home?
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This can be due to an outbreak or contact tracing.
Yes
No
In the last 10 days, have you tested positive for COVID-19 with a rapid antigen test or home-based self-testing kit?
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You can select no if you have since tested negative with a lab-based PCR test.
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Today's date is
When was the last time you were tested for COVID-19?
Please leave the field blank if you have never been tested for COVID-19.
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Are you currently experiencing any of the following symptoms
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Please choose any symptoms that are currently present and/or worsening that are not related to a previously known condition
Fever and/or chills
Coughing
Shortness of breath
Decrease/loss of taste or smell
Muscle aches/joint pain
Extreme Tiredness
None of the above
Name
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