top of page
COVID19 SCREENING

You'll answer the below questions about symptoms and contact with others each day of your scheduled shifts

Your answers are not shared with anyone else without your permission

By completing this form, you agree to its terms and MC&A will not be liable for any harm relating to your use

Recommendations provided by this tool do not constitute medical advice and should not be used to diagnose or treat medical conditions.

Covid-19 Health Declaration

How are you feeling today?

In the last 10 days, I have been tested for COVID19

Should you be experiencing any symptoms above or have been tested for COVID19 within the last 10 days, please contact your MC&A rep immediately for further instruction.

Submission Successful!

bottom of page