Patient Screening and Consent
Please complete the following patient screening and consent form. Please specify who is completing this form and enter your name or the Patients name if completing on their behalf. This is a pre-screening only. Upon arrival at the office, you will be asked to sanitize your hands, have your temperature taken, as well as answer these questions again.
As per current Alberta Health Services Protocol, only patients are allowed in the office. However, if a parent/guardian is needed, please complete a screening form for yourself, and follow the same protocol. Otherwise, please remain in your vehicle.