Peel Long Term Care and Adult Day Services COVID-19 visitor screening
You will need to complete this screening before entering the Long Term Care centre.
If you have any signs or symptoms of COVID-19, do not visit. Call the Long Term Care centre for more information.
Confirm the following:
I do NOT have any of the following symptoms of COVID-19 unless they are related to other causes or conditions I already have:
- Fever of 38° C or greater
- Cough (new or worsening)
- Shortness of breath
- Sore throat
- Decrease or loss of sense of smell or taste
- Nausea or vomiting or diarrhea
- Fatigue
- Runny or stuffy nose
- Headache
- Muscle aches and pains
- Joint pain
- Abdominal pain
- Pink eye
- Decreased or lack of appetite
A health care provider or government authority has NOT told me that I should currently be isolating (staying at home) and to not go to a long term care centre.
In the last 10 days, I have NOT been identified as a close contact of someone who has tested positive for COVID-19, or have symptoms of COVID-19.
In the last 10 days I have NOT tested positive on a rapid antigen test or home self-testing kit. If you have since tested negative on a lab PCR test, your answer is also no.
In the last 10 days, I have NOT visited a long term care centre where there is an individual with a confirmed case of COVID-19, or where there is an individual with COVID-19 symptoms.
I will provide documented proof that I tested negative for COVID-19 on a rapid antigen test test, or lab PCR test, today or yesterday OR agree to have a test done today at the long term care centre.
If I am a caregiver, I have read the Caregiver Information Package that includes the Managing Visitor's policy at my initial visit, annually and as changes are made.
Vaccination Requirements:
Caregivers & Support Workers – I will provide proof that I am fully vaccinated (primary series plus one booster dose required) to the Centre at the screening desk at every visit.
General Visitors – I will provide proof that I am fully vaccinated (primary series required) at the screening desk at every visit.
If you have a medical exemption, are visiting anyone who is very ill or receiving palliative or end of life care or are unvaccinated or partially vaccinated and have permission from the Administrator and/or Director of Care to visit, please notify the screening desk upon entry. Additional precautions may be required during your visit.
