COVID-19 Screening

Please complete this form prior to your appointment. If you answer Yes to any of these questions, please contact our office at 902-438-3937 (EYES) to reschedule for a future date.
  • Examples of symptoms include new or worsening cough, headache, weakness, fever, chills, difficulty breathing, sore throat, unexplained fatigue
  • Date Format: MM slash DD slash YYYY