24 Hours Online Screening Before Appointment Logo
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  • 24 Hours Online Screening Before Appointment

  • The purpose of collecting your information is to comply with COVID-19 health and safety protocols as mandated by WorkSafe BC and the BC Provincial Health Officer.
    The personal information provided by you is confidential and retained in a secure and protected environment. You can view the S.U.C.C.E.S.S. privacy statement here.

  • Client/Visitor Information

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  • Questions

    Yes / No
  • 2. Are you experiencing any of the following symptoms:

  • If client answered “YES” to any of the above questions, client should stay at home and not visit the service location. Please advise client to contact a health-care provider and/or call 811.


    If client answered “NO” to all the questions above, please advise the client to attend the scheduled appointment 10 minutes early for an entry check-in onsite. Due to the occupancy limit and physical distancing, the client is expected to attend the appointment alone (except clients with special needs). We ask clients to wear a mask when visiting the service location.


    Also, if the client develops any symptoms of COVID-19 by the time of the appointment, please advise the client to contact the service location immediately and the staff will reschedule the appointment accordingly.

  • Should be Empty: