Please read the following screening self-assessment the day of and prior to your appointment. If you answer NO TO ALL of these please proceed with your appointment. Otherwise, please cancel your appointment and contact Public Health immediately. DO NOT show up at clinic. A full refund can be provided by contacting customer service.

1. Are you currently experiencing any of these symptoms (new, worsening, and not related to a medical condition you already have)?

• Fever

• New onset of cough

• Worsening chronic cough

• Shortness of breath

• Difficulty breathing

• Sore throat

• Difficulty swallowing

• Decrease of 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 or nasal congestion without other known cause

2. Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms?

If you are fully vaccinated (it has been 14 or more days since your final dose of either a two-dose or a one-dose vaccine series), select “No.”

If the person got a COVID-19 vaccine in the last 48 hours and is experiencing a mild headache, fatigue, muscle aches, and/or joint pain that only began after vaccination, select “No.”

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

This can be because of an outbreak or contact tracing.