Covid Screening Covid Screening Please complete the Covid screening form before entering the Highlands facility. Web Site First Name * Last Name * Email Address * Phone Number * 1. Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions. Fever (>37.8 C), Chills, difficulty breathing or shortness of breath, cough, sore throat, trouble swallowing, runny nose/stuff nose or nasal congestion, decrease or loss of smell or taste, nausea, vomiting, diarrhea, abdominal pain, not feeling well, extreme tiredness, sore muscles * YesNo 2. Have you been identified as close contact of a confirmed case of COVID- 19 or someone who has been tested for COVID- 19? * YesNo 3. Have you travelled outside Canada in the past 14 days? * YesNo Recaptcha *
