3050 Confederation, Unit 200A Mississauga, ON

+1 905-766-4803

Mon: By Appointment/ Tues-Fri: 10am-7pm / Sat-Sun: 9am-6pm

Covid Screening

Covid Screening

This screening tool is based on the latest COVID-19 case definitions and the Coronavirus disease (COVID-2019) situation reports published by the Ministry of Health and the World Health Organization. As per guidelines, ensuring all health and safety providers are following the same screening protocol will help ensure consistency when dealing with suspected or confirmed cases of COVID-19.

·        This checklist provides basic information only. It is not intended to take the place of medical advice, diagnosis, or treatment.

·        The screening result is not equivalent to a confirmed diagnosis of COVID-19.

·        This information is current as of the date effective and may be updated as the situation on COVID-19 continues to evolve according to the evidence.

Covid-19 Patient Screening Questionnaire

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

Have you had close contact with a confirmed or probable case of COVID-19?

Do you have any of the following new or worsening symptoms or signs? (Symptoms should not be chronic or related to other known causes or conditions.): Fever, New onset of cough, Worsening chronic cough, Shortness of breath, Difficulty breathing, Sore throat, Difficulty swallowing, Decrease or loss of sense of taste or smell, Chills, Headaches, Unexplained fatigue/malaise/muscle aches (myalgias), Nausea/vomiting, diarrhea, abdominal pain, Pink eye (conjunctivitis), Runny nose/nasal congestion without other known cause?

Are you 70 years of age or older, and are you experiencing any of the following symptoms: delirium, unexplained or increased number of falls, acute functional decline, or worsening of chronic conditions?

13 + 8 =

Contact Info

Tel: +1 905-766-4803



3050 Confederation, Unit 200A, Mississauga, ON

Business Hours

Mon to Fri – 10:00 am to 8:00 pm

Saturday – 10:00 am to 6:00 pm

Sunday – 10:00 am to 4:00 pm

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