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Pre Questionnaire Screening

For ALL IN-CLINIC Patients, It is required to fill out this screening questionnaire for EACH VISIT to the clinic

Please Carefully read and answer ALL following questions:

1 – Did the person receive their final (or second) vaccination dose more than 14 days ago?

YES
NO

The content provided on this website is for informational purposes only. It is not a substitute for professional diagnosis, treatment or medical advice.

11685 Yonge St A106, Richmond Hill, ON L4E 0K7
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  • manager@premiercarephysio.com
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Daily 8:30am – 8:00pm
Fri 8:30am – 4:00pm
Sat 9:00am – 2:00pm
Closed Sundays

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