COVID-19 Health Screening (EGMHA)

PrintCOVID-19 Health Screening

Click the link below to complete the Health Screening Questionnaire. It must be completed by each individual (coach or player) prior to participation in each on-ice or off-ice activity.

Note if you are you currently experiencing any of the below issues? Call 911 if you are.
 1. Severe difficulty breathing (struggling for each breath, can only speak in single words)
 2. Severe chest pain (constant tightness or crushing sensation)
 3. Feeling confused or unsure of where you are
 4. Losing consciousness

If you are in any of the following at risk groups, we ask that you speak with your physician prior to participating.
 1. 70 years old or older
 2. Getting treatment that compromises (weakens) your immune system (for example, chemotherapy, medication for transplants, corticosteroids, TNF inhibitors)
 3. Having a condition that compromises (weakens) your immune system (for example, diabetes, emphysema, asthma, heart condition)
 4. Regularly going to a hospital or health care setting for a treatment (for example, dialysis, surgery, cancer treatment) 

Take the Health Screening Questionnaire

Please note: This Health Screening questionnaire follows the guidance provided by the OMHA, and was developed based on the Ontario Ministry of Health Self-Assessment Tool (June 17, 2020).

Printed from on Wednesday, December 2, 2020 at 9:04 PM