Covid Screening Form – IPL

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COVID-19 PRE-SCREENING FORM

To ensure the safety of our staff and customers, please fill out the following pre-screening COVID-19 health and safety form upon entering the office or workplace.

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Results of Screening Questions:

If the individual answers NO to all questions from 1 through 8, they have passed and can enter the workplace.

If the individual answers YES to any questions from 1 through 8, they have not passed and should be advised that they should not enter the workplace (including any outdoor, or partially outdoor, workplaces). They should go home to self-isolate immediately and contact their health care provider or Telehealth Ontario (1 866-797-0000) to find out if they need a COVID-19 test.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=”1″ fullwidth=”on” _builder_version=”4.6.0″ _module_preset=”default” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on” da_disable_devices=”off|off|off”][et_pb_fullwidth_code _builder_version=”4.9.2″ _module_preset=”default” background_color=”#000000″ hover_enabled=”0″ custom_css_main_element=”color: #fff;||padding: 10px;||margin: 0 auto;||text-align: center;||font-size: 10px;” sticky_enabled=”0″]Powered by MYC Interactive. A division of MYC Media.[/et_pb_fullwidth_code][/et_pb_section]