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LTC/ADS COVID-19 visitor screening

You will need to complete this screening tool before entering the facility.

If you are not able to proceed to the next step, you have failed screening. Go to the screening desk for further direction.

If you have any symptoms of COVID-19, do not visit and call the LTC centre for more information.

Is the long term care home in an outbreak?

Are you a caregiver?

Note: You must read the Caregiver training package that includes the Managing visitor's policy at your initial visit, annually, and as changes are made.

Can you provide proof that you are fully vaccinated?

Note: You must provide proof of vaccination to screening desk.

Can you provide proof that you tested negative for COVID-19 on a RAT test (or lab PCR) today or yesterday?
(Note: testing may differ based on public health guidance in an outbreak).

Can you provide proof that you tested negative for COVID-19 on a RAT test (or lab PCR) today or yesterday?
(Note: testing may differ based on public health guidance in an outbreak).

Can you provide proof that you tested negative for COVID-19 on a RAT test (or lab PCR) today or yesterday?
(Note: testing may differ based on public health guidance in an outbreak).

step 2

Do you have any of these typical symptoms of COVID-19?

  • Fever of 38° C or greater
  • Cough (New or Worsening)
  • Shortness of breath
  • Sore throat
  • Decrease or loss of sense of smell or taste
  • Nausea and/or vomiting and/or diarrhea
  • Fatigue
  • Runny/stuffy nose
  • Headache
  • Muscle aches and pains
  • Joint Pain
  • Abdominal Pain
  • Pink Eye/ Conjunctivitis
  • Decreased/lack of appetite

step 1 step 3

Do any of the following apply to you?

  • Has a health care provider or government authority told you that you should currently be isolating (staying at home) and/or to not go to a Long-Term Care Home?
  • In the last 10 days, have you been identified as a 'close contact' of someone who has tested positive for COVID-19 or have symptoms consistent with COVID-19?
  • In the last 10 days have you tested positive on a rapid antigen test or home-based self-testing kit? If you have since tested negative on a lab PCR test, answer "no."
  • In the last 10 days, have you visited a long-term care home where an individual is a confirmed case of COVID-19, and/or an individual experiencing COVID-19 symptoms?
  • Can you provide proof that you tested negative for COVID-19 on a RAT test (or lab PCR) today or yesterday?
    (Note: testing may differ based on public health guidance in an outbreak)

step 2 Complete

access granted

Screening date: .

Screen someone else