1. Did you have close contact with anyone with acute respiratory illness or have you travelled outside Ontario in the past 14 days?
  2. Do you have any of the following symptoms which are new or worsened, if associated with previously diagnosed allergies, chronic or pre-existing conditions, within the last 14 days?
    • fever
    • new onset or worsening chronic cough
    • sore throat
    • shortness of breath or difficulty breathing
    • difficulty swallowing
    • pink eye (conjunctivitis)
    • myalgia or fatigue
    • new olfactory or taste disorder(s) i. nausea/vomiting, diarrhea, or abdominal pain
  3. Have you had a confirmed exposure to someone diagnosed with COVID-19 in the past 14 days?
  4. Have you had close contact with a person who has symptoms who has been to an impacted area but who has not been tested, has tested inconclusive or tested negative?
  5. If you are 70 years of age or older, are you experiencing any of the following symptoms: delirium, unexplained or increased number of falls, acute functional decline, or worsening of chronic conditions?
  6. If you answer yes to any of these questions and have not been tested for COVID-19, you must not be seen in-person and should call your local public health unit and/or telehealth (1-866-797-0000) for assessment.