COVID Assessment Centre Intake Form


Please note that our COVID-19 Testing Centre will be closed during the Holidays from Friday, December 23rd, 2022 to Monday January, 2nd, 2023 included.

All requests for testing received from noon on Friday, December 23rd, 2022 to Monday, January 2nd, 2023 will only be answered on Tuesday, January 3rd, 2023.

If you wish to be tested before Tuesday, January 3rd, 2023, please click here for a list of the COVID-19 testing centres in the area.

To be tested on Tuesday, January 3rd, 2023, 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.