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Covid Screening
Name
*
First
Last
Date
*
Date Format: MM slash DD slash YYYY
Phone
*
Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions.
Fever
Cough
Shortness of breath
Sore throat
Chills
Muscle Aches
Loss of taste or smell
Runny nose
Have you come in contact with anyone who tested positive for COVID in the last 30 days?
Yes
No
Have you come in contact with anyone currently waiting for test results in the last 30 days?
Yes
No
Have you come in contact with anyone that has been asked to quarantine or been exposed to a person who is a confirmed positive case for COVID in the last 30 days?
Yes
No
Have you or anyone you've come in contact with travelled outside of Canada in the last 30 days?
Yes
No
Are you fully vaccinated and able to provide proof?
Yes
No
New Clients
New Client Registration
About Us
Our Team
Contact Us
Privacy Policy
Services
Additional Services
Anesthesia and Patient Monitoring
Medical Services
Nutritional Counseling
Pet Supplies
Preventive Services
Surgical Services
Wellness and Vaccination Programs
Pet Health
Pet Health Library
Pet Health Checker
How-To Videos
News
Links
Forms
New Client Registration
Patient Information – Submit Pre Appointment
Prescription Refill and Food Order Request Form
Euthanasia Form
New Patient Form – First Appointment – Complimentary Vaccines
MyVetStore