NEWCASTLE CHIROPRACTIC & HEALTH CENTRE 905-987-9900
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COVID-19 Screening Questions

All incoming patients must complete the following screening questionnaire to limit the transmission of COVID-19.  The safety of our patients, staff and community will always be our primary concern.  Thank you for your support.

    example: 05/25/2020

    COVID-19 Mask Requirements
    As of March 21st mask mandates are changing, however Ontario healthcare settings remain the same.  Please continue to wear your mask in the clinic.  Thank you!


    Potential COVID-19 Symptoms
    • Fever and/or chills 
    • New onset of cough or worsening chronic cough 
    • Shortness of breath 
    • Decrease or loss of sense of taste or smell 
    • If you are 18 years of age or older: unexplained fatigue / lethargy / malaise / muscle aches
    • If you are a child less than 18 years of age: nausea / vomiting / diarrhea 


    For Q3, fully immunized refers to receiving your final (or second) vaccination dose more than 14 days ago.  


    If you answer "YES" to any questions, please contact the clinic for further screening prior to your visit by calling ​(905) 987-9900. 
    In an effort to maintain low numbers and proper spacing in the clinic, please come alone to your appointment or bring only essential family members/dependents.  Thanks kindly.

    By typing your name in the "Client Signature" space above, you certify that your answers are true and complete to the best of your knowledge. 
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​(905) 987-9900
​
10 King Ave East
​Newcastle, ON
  • Home
  • The Team
  • Services
  • Neurology
  • Book Online
  • Contact
  • FAQs