LYNN VALLEY VETERINARY CLINIC
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COVID-19 FORM
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COVID-19 SCREENING
At Lynn Valley Veterinary Clinic, we are committed to curbing the spread of COVID-19 at the interest of our community. Please complete this form prior to your appointment.
We ask that if you answer YES to any of the following questions, you call us to reschedule your appointment, or have someone outside your household bring your furry friend if they require urgent attention.
*
Indicates required field
Name
*
First
Last
Pet's Name
*
Appointment Date & Time
*
Have you or anyone in your household had any of the following symptoms in the last 7 days: sore throat, cough, chills, body aches for unknown reasons, shortness of breath for unknown reasons, loss of smell, loss of taste, fever?
*
Yes
No
Have you or anyone else in your household travelled to any countries outside Canada (including the United States) within the last 14 days?
*
Yes
No
Have you or anyone in your household cared for an individual who is in quarantine OR is a presumptive positive OR has tested positive for COVID-19?
*
Yes
No
Do you have any reason to believe you or anyone in your household has been exposed to or acquired COVID-19?
*
Yes
No
Please note this questionnaire is not intended for medical advice.
This information remains confidential and will not be shared with any other parties. If you are not comfortable completing this form, please call us to complete your screening over the phone at (604) 980-0584.
Submit
Home
Services
Our Team
Veterinarians
Staff
>
Technicians
Assistants
Receptionists and Office Management
Contact (604) 980-0584
SHOP
COVID-19 FORM
COVID POLICIES
