• COVID-19 Patient Screening Form

  • Select "No" if you are immunocompromised.
  • Select "No" if all of the following apply: You have completed your isolation period, you tested negative for COVID-19 on one PCR test or rapid molecular test or two rapid antigen tests taken 24 to 48 hours apart, you do not have a fever, and your symptoms have been improving for 24 hours (48 hours if you have nausea, vomiting, and/or diarrhea).
  • Select "None of the above" if you are 18 or older and have received your booster dose, you are 17 or younger and are fully vaccinated, and you completed your isolation after testing positive in the last 90 days (using a rapid antigen, rapid molecular, or PCR test).
  • Select "None of the above" if you have already completed your isolation period because your symptoms started before your positive test result, you do not have a fever, and your symptoms have been improving for 24 hours (48 hours if you have nausea, vomiting, and/or diarrhea)
  • This field is for validation purposes and should be left unchanged.
Diamond Dental clinic in Ottawa
110 Bearbrook road unit 1 , Ottawa, ON

613-424-1010
[email protected]