Covid-19 Screening from the Ontario Ministry of Health

1. Are you presenting with fever, new onset of cough, worsening chronic cough, shortness of breath, or

difficulty breathing?

2. Have you had close contact with anyone with acute respiratory illness or travelled outside of Canada

in the past 14 days?

3. Do you have a confirmed or pending case of Covid-19 or had close contact with a confirmed case of

Covid-19?

4. Do you have two (2) or more of the following symptoms: sore throat, runny nose/sneezing, nasal

congestion, hoarse voice, difficulty swallowing, decrease or loss of sense of smell, chills, headaches,

unexplained fatigue/malaise, diarrhea, abdominal pain, or nausea/vomiting?

5. If you are over 65 years of age, are you experiencing any of the following: dellirium, falls, acute

functional decline, or worsening chronic conditions?

If you have answered YES to any of these questions you are advised to:

* Do not attend in person to the office for at least 14 days;

* Complete the Ontario Government's self assessment; and

* Contact an appropriate authority such as your family physician, local medical officer of health or

Telehealth Ontario.

If you have answered NO to the above questions, you may proceed to book your appointment.

If you are unsure please contact the office. 905-668-8884 Chiropractic

905-666-0415 Massage Therapy

BACK IN LINE WELLNESS CLINIC POLICY

Due to the changes with the COVID- 19 Pandemic we want to ensure yours and our safety is our number

one concern. Procedures entering the clinic will look a lot different.

1. We ask that everyone wears a mask so if you have one please wear it. If you do not, you may

purchase one at the front desk through your provider for $2.00.

2. When you enter the clinic please dispose of gloves if you are wearing them.

3. Please use the hand sanitizer provided on the front desk and follow instructions based on

whether you are here for a Massage Appointment or Chiropractic Appointment.

4. You will be screened again by your practitioner before treatment is started.

5. We want to keep minimum people in the clinic so please do not bring in extra people to wait for you

as this makes social distancing difficult.

6. If you are here for massage please remove footwear and head upstairs. You will find two distanced

chairs in a large common area to sit on if your therapist is not yet ready.

7. If you are here for chiropractic please come on time for your appointment remove your footwear and

there will be a sign on the desk indicating which room is ready and sanitized for you. You may proceed

and change if required. At the end of your appointment please bring your gown/shorts and dispose of in

the appointed basket.

8. The clinic environment requires you to respecting social distancing.

9. Bathrooms are there for emergencies but if you can go before coming to your treatment that is

greatly appreciated.

10. Methods of payment for massage therapy are Debit and E-transfer.

11. Methods of payment for chiropractic are Debit/Credit.

Thank you for your Cooperation during these unprecedented times. We will get through this together!