Pre-Appointment Screening Form | Nose Creek Physiotherapy

Pre-Appointment Screening Form

Take steps to protect yourself and others.

All Albertans have a responsibility to help prevent the spread of COVID-19. There are steps you can take to protect yourself and others.

Practice physical distancing. This is not the same as self-isolation. You do not need to remain indoors, but you do need to avoid being in close contact with people.

Practice good hygiene: wash hands often, cover coughs and sneezes, and avoid touching your face.

Monitor for COVID-19 symptoms: fever, cough, shortness of breath, sore throat or runny nose.

If you do develop any COVID-19 symptoms, stay home and take this self-assessment again.

If you have any other questions about COVID-19, please visit

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