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Are you currently experiencing one or more of the symptoms below that are new or worsening? Symptoms should not be chronic or related to other known causes or conditions. See below for symptoms *
In the last 14 days, have you travelled outside of Canada AND are currently required to be in quarantine per the federal quarantine requirements? https://travel.gc.ca/travel-covid/travel-restrictions/isolation *
Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)? This can be because of an outbreak or contact tracing. If the LTCH/RH you are seeking to enter allows you to work in self-isolation (e.g., test-to-work), select “No.” *
In the last 10 days (regardless of whether you are currently self-isolating or not), have you been identified as a “close contact” of someone (regardless of whether you live with them or not) who has tested positive for COVID-19 or have symptoms consistent with COVID-19? If public health or the LTCH/RH you are seeking to enter has advised you that you do not need to self-isolate or that you are allowed to work in self-isolation ( e.g.,test-to-work), select “No”. If you tested positive for COVID-19 (on a lab-based PCR test, rapid antigen test, or home-based self-testing kit) within the last 90 days and have already completed your 10-day isolation period, select “No”. *
In the last 10 days, have you received a COVID Alert exposure notification on your cell phone? If you have already gone for a lab-based PCR test and got a negative result, or if the LTCH/RH you are seeking to enter allows you to work in self-isolation (e.g., test-to-work), select "No". If you tested positive for COVID-19 (on a lab-based PCR test, rapid antigen test, or home-based self-testing kit) within the last 90 days and have already completed your 10-day isolation period, select “No”. *
In the last 10 days (regardless of whether you are currently self-isolating or not), have you tested positive for COVID-19 including on a rapid antigen test or a home-based self-testing kit? If you have since tested negative on a lab-based PCR test, or if the LTCH/RH you are seeking to enter allows to work in self-isolation (e.g., test-to-work), select “No.” *
Do any of the following apply? • You live with someone who is currently isolating because of a positve COVID19 test • You live with someone who is currently isolating because of COVID-19 symptoms • You live with someone who is waiting for COVID-19 test results If public health or the LTCH/RH has advised you that you do not need to self-isolate or that you are allowed to work in self-isolation (e.g., test-to-work), select “No”. If the individual experiencing symptoms received a COVID-19 and/or flu vaccine in the last 48 hours and is experiencing mild headache, fatigue, muscle aches, and/or joint pain that only began after vaccination, select “No”. If you tested positive for COVID-19 (on a lab-based PCR test, rapid antigen test, or home-based self-testing kit) within the last 90 days and have already completed your 10-day isolation period, select “No”. *
In the last 14 days, has someone in your household (someone you live with) travelled outside of Canada AND is currently required to be in quarantine (as per the federal quarantine requirements)? *
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