COVID-19 Pre-Appointment Screening

For the safety of MacDonald & Partners LLP staff and our clients, we reserve the right to cancel or reschedule appointments for anyone who might pose a health risk. Please complete the following form before your appointment. If you are unable to confirm any of the following questions, please contact us immediately to discuss your situation.

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1. Please confirm that you have not tested positive or received a confirmed diagnosis for COVID-19 in the last 14 days.

Confirm no diagnosis

2. Please confirm that you are not currently experiencing a Fever or Shortness of Breath.

Confirm no fever

3. Please confirm that you have not been within 6 feet of or live with a person with a confirmed case of COVID-19 in the past 14 days.

Confirm no contact

4. Please confirm that you have not experienced any of the following symptoms in the last 14 days: Fever, Shortness of Breath, new or worsening Cough, Runny, Stuffy or Congested Nose (not related to seasonal allergies or known condition), Chills, Muscle Pain, Headache, Sore Throat, Difficulty Swallowing, new Loss of Taste or Smell, Digestive Issues or Diarrhea, Unusual Fatigue, Falling Down often, Sluggishness or Lack of Appetite.

Confirm no symptoms

5. Please confirm that you have not travelled in the last 14 days to regions affected by COVID-19.

Confirm no travel

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I confirm that all the above information is correct.

Confirm Yes

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155 University Ave.
Suite 1700
Toronto, ON M5H 3B7

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COVID-19 Pre-Appointment Screening

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