Daily Screening For ABA Participation
This form is time stamped and must be completed every attendance at an ABA session, before the participant enters the facility.
Email address *
Person conducting the screening (Parent, Participant, or Staff Name) *
Participant's Name *
Have you been in close contact with someone who is sick or has confirmed COVID-19 in the past 14 days? *
Have you returned from travel outside of Canada in the past 14 days? *
Are you experiencing any of the following symptoms of Covid-19: *
Required
Please complete the screening by checking the appropriate box: *
Required
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