COVID Assessment Centre Intake Form

Please note that our COVID-19 Testing Centre will be closed for Thanksgiving – Monday, October 10th, 2022.

All requests for testing received from noon on Friday, October 7th, 2022 to Monday, October 10th, 2022 will only be answered on Tuesday, October 11th, 2022.

If you wish to be tested before Tuesday, October 11th, 2022, please click here for a list of the COVID-19 testing centres in the area.

To be tested on Tuesday, September 6th, 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


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.