Covid Appointment Checklist

A few things regarding Covid-19

As per government protocol

The required wearing of a face mask during your appointment is mandatory.

If you have any question you can email us at [email protected], call us at (519) 442-9475, or simply go here to access the Covid-19 checklist form.

Thank you for your patience and understanding.

Covid-19 Pre-screening Form

For the health and safety of other clients and staff it is required that individuals fill out this form before their visit.


    Symptoms Checklist Check all that apply

    Have you been out of the country in the last 14 days? (required)

    Have you been in contact with any COVID positive person? (required)

    Are you experiencing any signs or symptoms of COVID? (required)

    Unfortunately you will need to reschedule your appointment at this time due to having selected ‘Yes’ to one or elements in the checklist.

    Please call at (519) 442-9475 or e-mail us at [email protected] to reschedule your appointment.

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