Note: Personal information is being collected by Kemptville District Hospital for COVID-19 screening purposes.
Required fields are indicated with an asterisk (*)
First Name *
Last Name *
Email Address *
Date of Birth *
Surgery Date
Surgeon *
Have you travelled outside of Canada in the last 14 days? * ---YesNo
Have you been diagnosed with COVID-19? * ---YesNo
Have you had close contact with a confirmed case of COVID-19? * ---YesNo
Do you have any of the following potential signs or symptoms of COVID-19:
Fever or chills? * ---YesNo
New cough, worsening chronic cough, shortness of breath or difficulty breathing? * ---YesNo
Sore throat or difficulty swallowing? * ---YesNo
Decrease or loss of smell or taste? * ---YesNo
Headache? * ---YesNo
Unexplained fatigue/malaise/muscle aches (myalgia) or lethargy? * ---YesNo
Nausea, vomiting, diarrhea or abdominal pain? * ---YesNo
Pink eye (conjunctivitis)? * ---YesNo
Runny nose or nasal congestion without known cause? * ---YesNo
Have you been diagnosed with pneumonia? * ---YesNo
Have you been diagnosed with unexplained tachycardia, decreased blood pressure or hypoxia? * ---YesNo
KDH Auxiliary presents annual donation to the Hospital prior to National Volunteer Week
KDH invites public participation in the development of its new Strategic Plan
Outbreak declared at Interim Long-Term Care Unit in Kemptville District Hospital
KDH Board of Directors seeking Chief of Staff
Green Light for Ontario Health Team Application
KDH and CCHL Establish New Three-Year Strategic Alliance
Diabetes Educators at KDH Give People the Tools They Need to Live Well with Diabetes
New North Grenville COVID-19 Assessment Centre will receive proceeds from KDH Foundation’s Catch the Ace Fundraiser
North Grenville COVID-19 Assessment Centre transitioning to full assessment and treatment centre on October 7, 2020
North Grenville COVID-19 Assessment Centre open as per normal Monday, October 5, 2020
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