COVID PRE-SCREENING FORM

This screening tool has been issued by the Office of the Chief Medical Officer of Health, Government of Ontario.
This is a mandatory form and must be fill out prior to entering any Fidelity work site or building.
Thank you for your cooperation in keeping Fidelity sites safe for our contractors, employees and all visitors.

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NOTE: A person is fully vaccinated against COVID-19 if, 

(a) they have received,

(i) the full series of a COVID-19 vaccine authorized by Health Canada, or any combination of such vaccines,

(ii) one or two doses of a COVID-19 vaccine not authorized by Health Canada, followed by one dose of a COVID-19 mRNA vaccine authorized by Health Canada, or

(iii) three doses of a COVID-19 vaccine not authorized by Health Canada; and

(b) they received their final dose of the COVID-19 vaccine at least 14 days before seeking access to the premises