Self Screening Kit Reporting
Please DO NOT visit the pick-up locations until you have heard from us.
Screening people in the workplace with rapid antigen screening will help to stop the spread of COVID-19 by identifying asymptomatic individuals and protecting others from exposure. In addition, conducting these self-screening kits will provide much needed data about viral prevalence of COVID-19 within job sites and communities across Canada.
If you are ordering refills, you MUST have reported your results as per the Provincial Antigen Screening Program Agreement. We will not refill orders unless you have reported the results for 75% of the screening kits that you picked up.
Information will be shared with Health Canada and the Ministry of Health Ontario.
Date of Screening
Total Number of Employees Screened
Total Positive Results
Total Negative Results
Total Inconclusive Results
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service