Clergy Street Family Physicians COVID-19 Screening

* Caregivers / Parents, please complete a separate form

 

Please tell us your email address.

Please tell us your health card version code.

Please tell us your last name.

Please tell us your date of birth.

Please tell us the reason for your appointment.

Have you been tested for COVID-19 within the last 14 days?

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Do you have a fever?

 

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Have you travelled outside of Canada?

 

In the last 14 days have you had close, unprotected contact?

 

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Thank you for completing the COVID-19 Screening questions

Education

Click the button below to learn more about our Group Classes.

Group Programs are not currently running.

There are no up-coming events

After Hours Clinic

Monday - Friday:  4:30pm - 6:30pm
Saturday & Sunday:  9:00am -12:00pm

By Appointment Only

Click Here for Further Information