Have you passed the COVID-19 Health Screen?
1. Did your child or the caregiver attending with the child have close contact with anyone with acute respiratory illness or travel outside of Canada in the past 14 days?
Yes or No?
2. a) Did your child or the caregiver attending with the child have a confirmed case of COVID -19 or had close contact with a confirmed case of COVID -19 without wearing Personal Protective Equipment (PPE)?
Yes or No?
2. b) If answered yes, has the family been cleared by Public Health?
Yes or No?
3. Does your child or the caregiver attending with the child have any of the following symptoms?
- Fever
- New onset of cough
- Worsening Chronic Cough
- Shortness of Breathing
- Sore Throat
- Difficulty Swallowing
- Decrease or loss of sense of taste
- or smell
- Rashes, red swollen toes in children
- Chills
- Headaches
- Unexplained fatigue/ malaise/muscle-aches
- Nausea / Vomiting, diarrhea, abdominal pain
- Pink eye (conjunctivitis)
- Runny nose/nasal congestion without other known cause
Yes or No?
4. If the caregiver attending with the child is 70 years of age or older: Are they experiencing any of the following symptoms: delirium, unexplained or increased number of falls, acute functional decline or worsening of chronic conditions?
Yes or No?
If response to ALL of the screening questions are NO: COVID Screen Negative – ENTER, practice physical distancing and approach sign in table when space is available.
If response to ANY of the screening questions is YES (except for 2 b): COVID Screen Positive – DO NOT ENTER and call for further direction and follow up to either of the following:
1. Durham Health Connection Line 905-668-2020 or 1-800-841-2729
2. Telehealth Ontario at 1-866-797-0000
