Self Checker Form

A clinical assessment multi-step form that will assist individuals on deciding when to seek testing or medical care if they suspect they or someone they know has contracted COVID-19 or has come into close contact with someone who has COVID-19

Have you recently been in close contact with someone who has COVID-19?

Are you experiencing a high fever, dry cough, tiredness and loss of taste or smell?

Are you having diarrhoea, stomach pain, conjunctivitis, vomiting and headache?

Have you traveled to any of these countries with the highest number of COVID-19 cases in the world for the past 2 weeks?

Are you experiencing any of these serious symptoms of COVID-19 below?

Provide us with your personal information

That's about it! Stay healthy!

We will assess your information and will let you know soon if you need to get tested for COVID-19.

Click on the submit button to continue.

Success! We'll get back to you ASAP!

Meanwhile, clean your hands often, use soap and water, or an alcohol-based hand rub, maintain a safe distance from anyone who is coughing or sneezing and always wear a mask when physical distancing is not possible.

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