Team PortalOn Call
    You are here:  

Clergy Street Family Physicians COVID-19 Screening

This is to be completed by patients who already have an appointment booked.

 

* Caregivers / Parents, please complete a separate form

 

Please tell us your email address.

Please tell us your health card version code.

Please tell us your first name.

Please tell us your last name.

Please tell us your date of birth.

Please tell us the reason for your appointment.

Have you been tested for COVID-19 within the last 14 days?

Invalid Input

Select Result

   

Do you have a fever?

 

Invalid Input

 

Have you travelled outside of Canada?

 

In the last 14 days have you had close, unprotected contact?

 

<b>Please enter the text below:</b> Refresh Invalid Input

 

Thank you for completing the COVID-19 Screening questions

Education

Click the button below to learn more about our Group Classes.

TAKE A STEP TO IMPROVE YOUR HEALTH!

Upcoming Education

In-person group programs are not currently running.  

There are no up-coming events

After Hours Clinic

Monday - Friday:  4:30pm - 6:30pm
Saturday & Sunday:  9:00am - 12:00pm

By Appointment Only

Click Here for Further Information

 

 

Contact Us

By Phone

Online Feedback Form

Clinic Locations

 
Copyright © 2008 - 2022 Maple Family Health Team, All Rights Reserved.