Call (613) 507-0707
745 Gardiners Rd. Unit 3
Kingston, ON K7M 3Y5
Mon - Thu: 8:30am - 5:00pm
Fri: 8:30am - 4:00pm
Please complete the following form prior to your first appointment. Our online forms are secure and PIPEDA compliant.
I certify that I will not come to my appointment if any of the following apply:
1. I have cold or flu like symptoms (such as fever, cough, shortness of breath, sore throat, runny nose, sneezing, difficulty swallowing, nausea, chills, headache).
2. I have travelled outside Ontario or have had close contact with anyone that has travelled outside Ontario within 14 days of my appointment.
3. I have had close contact with anyone with respiratory illness or a confirmed or probable case of COVID-19 within 14 days of my appointment.