COVID-19 Screening Tool


Ministry of Health COVID-19 Patient Screening Guidance Document V. 5.0, August 26, 2020

This screening tool is based on the latest COVID-19 case definitions and the Coronavirus disease (COVID-2019) situation reports published by the World Health Organization. This document should be used to screen people who are suspected or confirmed of having COVID-19 throughout the health and emergency response system. Ensuring all health and safety providers are following the same screening protocol will help ensure consistency when dealing with suspected or confirmed cases of COVID-19.


In order to ensure the health and safety of our patients and staff, you are required to complete the Ontario Public Health COVID-19 screening tool. Please read through the screening questions below and at the end of the document indicate your selection.
By selecting the "Submit" button, I acknowledge that I have answered the above questions honestly. I acknowledge that I am signing this screening electronically. I agree that my electronic signature on this document is the equivalent of my manual/handwritten signature.

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