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PLEASE READ CAREFULLY!! 
 
MASKS are still mandatory in all Community based healthcare clinics as per the MOH Directives.  Patients and Visitors are still required to wear a mask while present in The Peterborough Clinic. 
 
COVID-19 SELF-SCREENING QUESTIONNAIRE 
 
All visitors to the Clinic must complete a COVID-19 Self-screening questionnaire, as well as provide proof of the screening at your appointment.  Self-Screening forms are available below in both a printable and via QR Code.  Please click on the preferred link below.   Please note the COVID-19 Self-screening QR Code is also posted at the main entrance, as well as throughout the building for your convenience. 
 
PRINTABLE COVID-19 PATIENT SCREENING CHECKLIST 
QR Code COVID19 Self Screening - Mar 3, 2022 
 
If you have an appointment at The Peterborough Clinic AND if you do not pass the screening, 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 
 
Stop COVID Logo 
 
Vaccine Exemption Guidelines 
 
  
 
 

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Mail To:
The Peterborough Clinic
26 Hospital Drive
Peterborough,  ON  K9J 7C3
Canada

Telephone: (705) 743-2040
Fax: (705) 743-4392

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