SACC Brantford Health Screening

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Please complete the form daily for each child entering the centre.

Child's Information
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1. Does your child have any of the following new or worsening symptoms? Symptoms should not be chronic or related to other known causes or conditions.:

If you answered "YES" to any of the symptoms included under question 1:

  • - Your child should stay home to isolate immediately.
  • - Contact your child's health care provider for further advice or assessment, including if your child needs a COVID-19 test or other treatment.
2. Does your child have any of the following new or worsening symptoms? Symptoms should not be chronic or related to other known causes or conditions.:

If you answered "YES" to only one of the symptoms included under question 2:

  • - Your child should stay home for 24 hours from when the symptom started.
  • - If the symptom is improving, your child may return to school/child care when they feel well enough to do so. A negative COVID-19 test is not required to return.
  • - If the symptom persists or worsens, contact your child's health care provider for further advice or assessment, including if your child needs a COVID-19 test or other treatment.

If you answered "YES" to two or more of the symptoms included under question 2:

  • - Your child should stay home to isolate immediately.
  • - Contact your child's health care provider for further advice or assessment, including if your child needs a COVID-19 test or other treatment.
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3. Has your child travelled outside of Canada in the past 14 days?:
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4. Has your child been identified as a close contact of someone who is confirmed as having COVID-19 by your local public health unit (or from the COVID Alert app if they have their own phone)?:
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5. Has your child been directed by a health care provider including public health official to isolate?:

If the individual answers "YES" to question 3, 4 or 5:

  • - Your child should stay home to isolate immediately and follow the advice of public health.
  • - If your child develops symptoms, you should contact your local public health unit or the health care provider for further advice.
Result
*Results:

Staff Performing Screening
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Staff Name
 
 
Dec 26 - All YMCA Health Fitness & Aquatics Centres are temporarily closed due to the Provincial lockdown. All active memberships have been placed on hold for the duration of the lockdown. For complete info please read our Updates to Members.