Telemedicine

Please complete the following Telemedicine Form

Section 1:  Patient Demographic Information

as it appears on your health card

as it appears on your health card

If you are not a current patient with Acton Medical continue answering the rest of section 1; current patients can move onto section 2.

Are you currently suffering from a medical condition, illness, or injury?

Your Signature

Have you been hospitalized in the last 12 months?

COVID-19 Information 

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Acton Medical and Urgent Care is NOT a testing site for COVID-19. 

 

Patients who are concerned that they have been exposed to COVID-19 or are having symptoms of COVID-19 are encouraged to get assessed and tested at an Assessment Centre.

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The following link provides an up-to-date list of COVID-19 symptoms:

https://www.ontario.ca/page/covid-19-stop-spread#section-0

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Please use the following link for COVID-19 self assessment, testing locations and checking for your COVID-19 test results:

https://covid-19.ontario.ca/?_ga=2.186312937.192118062.1585569020-2010572598.1579537951

 If you have a medical emergency please call 911.

 

If you have any medical questions/concerns you can call 

Telehealth Ontario at 1-866-797-0000.