Covid-19 Screening Form
Are you experiencing any of the following symptoms with unknown cause: fever, cough, shortness of breath, muscle pain, loss of taste or loss of smell?
Have you had close contact with any person IN SELF ISOLATION, QUARANTINE or under investigation for COVID-19 in the past 14 days?
Have you been in close contact with anyone who has been traveling internationally recently?
Have you had contact in the last 14 days with a person being tested with Covid-19?

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Hours of Operation

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Closed

10:00am - 3:00pm

10:00am - 3:00pm

12:00pm - 7:00pm

12:00pm - 7:00pm

9:00am - 3:00pm

Closed

Address:

42 Banffshire St.

Kitchener On

N2R 1W3

Telephone:

519-568-3685

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