We are conducting active screening for potential risks of COVID-19 with everyone entering the workplace to ensure the safety and well being of all. This screening tool provides advice, recommendations and instructions issued by the Office of the Chief Medical Officer of Health in accordance with O. Reg. 364/20: Rules for Areas in Step 3 made under the Reopening Ontario (A Flexible Response to COVID-19) Act, 2020 (ROA).  It is not to be used as a clinical assessment tool, nor is it intended to take the place of medical advice, diagnosis, treatment or legal advice.

The information collected in this form will be used to screen you for COVID-19 risk factors prior to entering a Town facility. In the event of a confirmed COVID-19 diagnosis that coincides with your visit to a Town facility, your name and contact information will be provided to public health authorities for purposes of contact tracing in accordance with provincial instruction. Ontario’s health privacy legislation, Personal Health Information Protection Act (PHIPA) establishes the rules regarding your personal health information. Questions regarding this collection may be directed to the Municipal Clerk, Town of East Gwillimbury, 19000 Leslie Street, Sharon, Ontario L0G 1V0, 905-478-4283.

By clicking "Start Now", you are agreeing to the terms mentioned and have read the above in its entirety.

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