Pre-Treatment Screening for Covid-19

(AS REQUIRED BY THE COLLEGE OF ACUPUNCTURE AND ONTARIO’S MINISTER OF HEALTH)

PLEASE ANSWER ALL THE QUESTIONS BELOW, AND IF SOMEONE ACCOMPANIES YOU TO YOUR APPOINTMENT (DRIVING OR COMING IN), PLEASE HAVE THEM FILL OUT AND SUBMIT THE FORM AS WELL.

As Regulated Healthcare Professionals, we are asked to use our professional judgement with patients known to us. Based on what we know of your health history, and based on the context of your symptoms, we can determine that they are unrelated to COVID-19, and decide to offer you our health services. As a regulated health profession, we will *not* be able to see new patients who screen positive in this questionnaire, unless they have received an evaluation and been confirmed as being not positive by their doctor, Telehealth, or Waterloo Region Public Health.

Thank you for your understanding.

If you believe you might have Covid-19, you could:

  • Fill the online self-evaluation questionnaire https://covid-19.ontario.ca/self-assessment/

  • Call your Doctor, or call Ontario Telehealth at 1-866-797-0000 or the Region of Waterloo Public Health and Emergency Services 519-575-4400. If you are very unwell, and have difficulty breathing, call 911.