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* 1. Do you have any of the following new or worsening symptoms or signs? Check any if they apply. Symptoms should not be chronic or related to other known causes or conditions.

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* 2. Have you travelled outside of Canada in the past 14 days?

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* 3. In the last 14 days, has a public health unit identified you as a close contact of someone who currently has COVID-19?

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* 4. Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?

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* 5. In the last 14 days, have you received a COVID Alert exposure notification on your cell?
(If you've already went for a test and got a negative result, select "No")

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* 6. What are you entering the facility for?

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* 7. Contact Information

Results of Screening Questions:

If you've answered none of the above and no to all questions 1 through 5, then you have passed and may proceed to enter the facility.

If you've answered yes or if any of the questions 1 through 5 apply to you, do not enter the workplace. Please self-isolate, inform your guardian immediately and contact your nearest healthcare provider or Telehealth Ontario at 1 866 797 0000 to find out if you need a COVID-19 Test. For a list of assessment centres visit TBHU.com/testinginfo.

For more information on COVID-19, visit TBHU.com/coronavirus or call 625-5900, toll-free 1 888 294 6630 or your nearest branch office.

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