Ontario Home Health Covid-19 Screening Tool

Ontario Home Health is taking all measures to protect our staff, clients and communities from the spread of Covid-19.  You are being asked to complete this brief screening  too prior to your appoint with our team. 

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* 1. What is your name:

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* 2. What is the date:

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* 3. Have you been in contact with a known or suspected case of Covid-19?

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* 4. Have you been tested for Covid 19 in the last 14 days?

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* 5. Have you traveled outside of Canada in the last 30 days?

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* 6. Do you have any of the following symptoms?

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