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Elite Care Medical Group

In case we need to coordinate care

In case we need to coordinate care

Are you filling this form out because you are concerned that you have been exposed to or have contracted the COVID-19 virus?

Are you experiencing any of the following symptoms? *

Do you have any of the following pre-existing medical problems? *

Have you traveled during the last 14 days from anywhere there is community transmission of CoVid-19? *

Have you had direct exposure to a CoVid-19 patient? *

Have you had any other exposures or interactions with anyone who has a laboratory confirmed case of CoVid-19? *

Helpful information about the novel coronavirus, COVID-19

If you think you have been exposed to coronavirus disease (COVID-19) and have a fever or respiratory illness (cough or shortness of breath), call your doctor's office or local public health department for further direction. You may also schedule WITH us on Telemedicine.

Wash your hands frequently

Regularly and thoroughly clean your hands with an alcohol-based hand rub or wash them with soap and water for at least 20 seconds.

Maintain social distancing

Maintain at least 1 metre (3 feet) distance between yourself & anyone who is coughing or sneezing. If you are too close, get chance to infected.

Avoid touching face

Hands touch many surfaces and can pick up viruses. So, hands can transfer the virus to your eyes, nose or mouth and can make you sick.

Practice respiratory hygiene

Maintain good respiratory hygiene as covering your mouth & nose with your bent elbow or tissue when cough or sneeze.

Take steps to protect others

  • Stay home – if you are sick or believe you have been exposed to the virus, even if you aren't showing any symptoms
  • Cover your mouth and nose – with a tissue when you cough or sneeze (throw used tissues in the trash) or use the inside of your elbow.
  • Wear a facemask if you are sick – You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) and before you enter a healthcare provider's
  • Clean AND disinfect frequently touched surfaces daily – This includes phones, tables, light switches, doorknobs, countertops, handles, desks, toilets, faucets, and sinks.
  • Clean the dirty surfaces – Use detergent or soap and water prior to disinfection.
  • Stay informed about the local COVID-19 situation – Get up-to-date information about local COVID-19 activity from public health officials.
  • Dedicated, lined trash can – If possible, dedicate a lined trash can for the ill person. Use gloves when removing garbage bags, and handling & disposing of trash.