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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 or chills
Difficulty breathing or shortness of breath
Cough
Sore throat, trouble swallowing
Runny nose/stuffy nose or nasal congestion
Decrease or loss of smell or taste
Nausea, vomiting, diarrhea, abdominal pain
Not feeling well, extreme tiredness, sore muscles
Have you travelled outside of Canada in the past 14 days?
Yes
No
Have you had close contact with a confirmed or probable case of COVID-19?
Yes
No
New Clients
Appointment Request Form
New Client Registration
About Us
Our Team
Contact Us
Services
Additional Services
Anesthesia and Patient Monitoring
Medical Services
Nutritional Counseling
Pet Supplies
Preventive Services
Surgical Services
Wellness and Vaccination Programs
Make An Appointment
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
MyVetStore
