Please Carefully read and answer ALL following questions:
1 – Did you receive your final (or second) vaccination dose more than 14 days ago?
You Answered YES.
2- Do you currently have ANY of the following symptoms?
Fever (of 38C / 100.4F or higher) and/or chills?
New onset of cough or worsening chronic cough?
Shortness of Breath?
Decrease or loss of sense of taste or smell?
3- Adults over 18 years of age (Any unexplained fatigue, joint pain or muscle ache) or Child under 18 years of age (Any nausea, vomiting or diarrhea)?
4- Have you tested positive for COVID-19 in the past 10 days or have you been told to isolate?
If you answer “YES” to any of above question, we ask that you immediately contact the clinic at 905-237-7174 to discuss appropriate next steps and in-person appointments alternatives.
1. I have answered all the above questions honestly and truthfully
2. By signing below, I consent and accept the inherent risks of in-person physiotherapy treatment in light of the COVID-19 Pandemic and any potential exposure that occurs as a result.