Speech and Language Therapy
COVID 19 Screening
Covid 19 Screening for Direct Therapy Session
Indicates required field
Name of Student
In the last 14 days, has anyone in your household travelled outside of Canada?
Has anyone in your household tested positive for COVID 19, or had close contact with a confirmed case without appropriate PPE?
Do you or your student have any ONE of the following symptoms?
Create your own unique website with customizable templates.