EXPERT SPORT MEDICINE CARE

Check List for Patients to Complete Prior to Their In-Office Appointment With Dr. Carson​

• Please ensure we have an updated cellphone number to contact you

• The screening questions include:

Have you or anyone you have had close contact with travelled outside of Ontario in the past 14 days?

Have you been confirmed or had close contact with someone who has been confirmed with a case of COVID-19?

Do you have any of the following symptoms?
Fever
New onset of cough
Worsening chronic cough
Shortness of breath
Difficulty breathing
Sore Throat
Difficulty swallowing
Decrease or loss of sense of taste or smell
Chills
Headaches
Unexplained fatigue/ muscle aches
Nausea / Vomiting, diarrhea, abdominal pain
Pink eye
Runny Nose/ Nasal congestion without other known cause

If you are 70 years of age or older

​Are you experiencing any of these additional symptoms?

Delirium

Unexplained or increased number of falls

Acute functional decline

Worsening of chronic conditions

• You will be asked screening questions before being allowed to enter, if you have one of the symptoms you will not be allowed in the office. A virtual appointment can be made to address your concerns.

Please answer these questions truthfully as we are trying to protect all of our patients, staff, and doctors! Failure to do so will result in serious consequences

• Call from the car in the parking lot once you arrive

• Call 1 hour before you arrive (this is when they're going to get screening questions, office will call)