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Covid-19 Screening

Please indicate which symptoms you are experiencing*:







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?*:
Have you or has anyone in your household tested positive for COVID-19 in the past 2 weeks?*:
Have you recently been tested for COVID-19 and are awaiting test results?*:
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