Need COVID Testing?Name* First Last Phone*How do you meet current testing criteria? Requires admission to hospital or likely to be admitted Pregnant, in 3rd trimester On hemodialysis Cancer patient receiving radiation or chemotherapy Part of an investigation of a cluster or outbreak Resident of remote, isolated or Indigenous community Living and working in congregate settings Homeless or has unstable housing Returning traveler identified at a point of entry to Canada Clinical judgement/test will change management Other OtherCurrent symptoms which may represent COVID-19 Fever Cough Shortness of breath Rhinorrhea Nasal congestion Loss of sense of smell Sore throat Odynophagia Headache Muscle aches Fatigue Loss of appetite Chills Vomiting Diarrhoea
