Covid Form

    1. 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.







    Results of Screening Questions:
    • If the individual answers No to all questions from 1 through 3, they have passed and can enter the workplace.
    • If the individual answers YES to any questions from 1 through 3, they have not passed and should be advised that they should not enter the workplace(including any outdoor, or partially outdoor, workplaces). They should go home to self-isolate immediately and contact their health care provider or Telehealth Ontario (1866-797-0000) to find out if they need a COVID-19 test.

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