COVID-19 SCREENING FORM

COVID-19 Screening

Have you travelled outside of Canada in the past 14 days?

Have you tested positive to COVID-19 or had close contact with a confirmed case of COVID-19 without wearing appropriate PPE?

Do you have any of the following symptoms: Fever • Cough • Worsening cough • Shortness of breath • Difficulty breathing • Sore throat • Difficulty swallowing • Decreased or loss of sense of taste or smell • Chills • Headaches • Unexplained fatigue/malaise/muscle aches • Nausea/vomiting, diarrhea, abdominal pain • Pink eye • Runny nose/nasal congestion with unknown cause

If you are 70 years of age or older, are you experiencing any of the following symptoms: delirium, unexplained or increased number of falls, acute functional decline, or worsening of chronic conditions?

Hours of Operation

Monday9AM - 6:30PM
Tuesday9AM - 6PM
Wednesday9AM - 6PM
Thursday10AM - 8PM
FridayBy Appt.
Saturday9AM - 3PM
SundayClosed
elmcreek dental logo mississauga dentist

3052 Elmcreek Rd, Unit 104
Mississauga, ON, L5B 0B6
(At Mavis Rd & Dundas St in the Superstore plaza)

CALL US NOW: 905-306-7770

Email: info@elmcreekdentalcare.com

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