Health Information

Body Temperature:

Do you have any of these symptoms?

- Fever

- New onset of cough

- Shortness of breath/Difficulty breathing

- Tiredness

- Unexplained headaches, sore throat, muscle aches, diarrhea/vomiting

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1. Have you taken any medicine for cold/fever in the past week?

2. Have you been in contact with the patient(s) with fever and/or respiratory symptoms in the past two weeks?

3. Whether 2 or more people in your office/home have had a fever and/or respiratory symptoms in the past 2 weeks？

4. Have you had a Coronavirus test in the past week? If yes, what is the result of your test?

- Have not been tested for Coronavirus

- Coronavirus tested positive

- Coronavirus tested negative

- Coronavirus test was performed, and the result is unknown

Privacy Notice

Based on the advice of Ontario Public Health, Lingyu International Psychology Centre will conduct more in-depth and active screening of health information. No personal information will be used for any purpose other than the COVID-19 health screening. If you have any concerns about the collection of information, please contact our staff.

Acknowledgement: I hereby confirm that the information given is true, complete, and accurate.