COVID Assessment Centre Intake Form


Please note that our COVID-19 Testing Centre will be closed for Victoria Day Monday, May 23, 2022.

All requests for testing received from 4pm on Friday, May 20, 2022 to Monday, May 23, 2022 only be answered on Tuesday May 24, 2022.

If you wish to be tested before Tuesday, May 24, 2022, please click here for a list of the COVID-19 testing centres in the area.

To be tested on Tuesday, May 24, 2022, see below.

 

Please fill out this form and one of our nurses will contact you for an appointment. We are open from Monday to Friday and will try to respond the same day. For emergencies, please go to the nearest emergency department.

Please do not come without an appointment, as our doors are locked and you will not be seen.

Demographic information

Travel and contact history

If yes, please fill in the dates below.

COVID-19 Vaccination Status

Testing eligibility

Symptoms

Choose any/all that are new, worsening, and not related to other known causes or conditions.

In order to avoid delays in obtaining your COVID test results from the ministry’s website, verify that ALL information submitted is complete and accurate.