At-Home COVID-19 Testing Report

Welcome to the Windsor Regional Hospital At-Home COVID-19 Testing Report

Please use this form to report your test results on Wednesday and Sunday before coming to work.

 

Demographic Information

 
 
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Do you have a WRH Employee ID (from your WRH pay cheque)

 
Classification




 
 
 

Screening

The results of my screening were

 

Please Note: It is your responsibility to ensure you have enough test kits. We advise you to pick up more test kits when you have 5 left. Please see list of pick up times/locations here (coming soon).

Only the Employee Health Department can see the data you enter on this form. Employee Health may notify your manager, supervisor, or principal investigator if you fail to report test results before coming to WRH.

 

Consent

 
 

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