PRINTABLE COVID-19 PATIENT SCREENING CHECKLIST v4 June 30 2020  
MOBILE COVID-19 PATIENT SCREENING CHECKLIST SUBMISSION FORM  
 
PLEASE READ CAREFULLY  
 
The Peterborough Clinic is working to enhance what we’re doing to protect our patients and caregivers and prevent the spread of COVID-19  
 
If you have an appointment at The Peterborough Clinic AND you (or close contact) have travelled outside of Canada or you are feeling unwell and experiencing flu-like symptoms (Including, but not limited to, fever, cough and/or difficulty breathing)   Please stay home and call your physician’s office for further direction.  
 
You may also contact the Peterborough Public Health and speak with a nurse regarding your symptoms as well.  
 
Please call: 705-743-1000   Ext.401  
 
If you are in distress, please call 911.  
 
Regards,  
The Peterborough Clinic  
 
 
A MESSAGE FROM YOUR PRIMARY CARE FAMILY DOCTORS AND NURSE PRACTITIONERS:  
 
During the COVID-19 Pandemic we wish to thank the Public for staying home, and keeping yourself and others safe.  
 
BUT......If you need medical help please call your Regular Family Doctor or Nurse Practitioner Clinic.  
 
We are OPEN to assist you with Virtual/Phone Assessments, or safe In Person Appointments if needed, by prior arrangement.  
 
We can HELP you get timely medical attention, and avoid complications that result in a visit to the Emergency Department.  
 

COPD

COPD Letter & Questionnaire
Spirometry

COPD Letter & Questionnaire

copd-letter

copd-questionnaire

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Spirometry

Spirometry is a common breathing test used to determine how much and how fast you can get the air out of your lungs. You are asked to take a big breath in and blow it out as hard and long as you can into a machine. You will be asked to do this at least 3 times to make sure that we get the best test possible. You are then given a medication to breathe in, and then the test is done again to see if the medicine makes your breathing better. Spirometry is the only way to truly tell if you have COPD.

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