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.  
 

Nurse Practitioners

Elizabeth Broomfield, BscN, RN (EC)
Christine Bugden, BscN, RN (EC)
Sharon Gallina, BscN, RN (EC)
Anna Jamieson, BscN, RN (EC)
Jennifer Logan, BscN, RN (EC)
Anca Szabo, BscN, RN (EC)

Elizabeth Broomfield, BscN, RN (EC)

Profile Under Construction

Suite: 303
Fax: (705) 740-6863

Language: English

The Peterborough Clinic’s website was created as an information site only. Requests emailed through the Clinic’s site for the purpose of medical advice, follow-ups and or booking appointments will not be answered. It is strongly recommended to phone the physician’s office directly should any medical questions and or concerns arise.

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Christine Bugden, BscN, RN (EC)

Profile Under Construction

Suite: 202
Fax: (705) 740-6881

Language: English

The Peterborough Clinic’s website was created as an information site only. Requests emailed through the Clinic’s site for the purpose of medical advice, follow-ups and or booking appointments will not be answered. It is strongly recommended to phone the physician’s office directly should any medical questions and or concerns arise.

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Sharon Gallina, BscN, RN (EC)

Profile Under Construction

Suite: LL03
Fax: (705) 740-6898

Language: English

The Peterborough Clinic’s website was created as an information site only. Requests emailed through the Clinic’s site for the purpose of medical advice, follow-ups and or booking appointments will not be answered. It is strongly recommended to phone the physician’s office directly should any medical questions and or concerns arise.

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Anna Jamieson, BscN, RN (EC)

Profile Under Construction

Suite: LL02
Fax: (705) 740-6847

Language: English

The Peterborough Clinic’s website was created as an information site only. Requests emailed through the Clinic’s site for the purpose of medical advice, follow-ups and or booking appointments will not be answered. It is strongly recommended to phone the physician’s office directly should any medical questions and or concerns arise.

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Jennifer Logan, BscN, RN (EC)

Profile Under Construction

Suite: LL02
Fax: (705) 740-6847

Language: English

The Peterborough Clinic’s website was created as an information site only. Requests emailed through the Clinic’s site for the purpose of medical advice, follow-ups and or booking appointments will not be answered. It is strongly recommended to phone the physician’s office directly should any medical questions and or concerns arise.

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Anca Szabo, BscN, RN (EC)

Profile Under Construction

Suite: 203
Fax: (705) 740-6858

Language: English

The Peterborough Clinic’s website was created as an information site only. Requests emailed through the Clinic’s site for the purpose of medical advice, follow-ups and or booking appointments will not be answered. It is strongly recommended to phone the physician’s office directly should any medical questions and or concerns arise.

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