Visiting MPL Branches

Visitor Information Form

Please complete this form to enter the branch. * indicates a required field
  • Your full Legal Name * Required
  • Which branch are you visiting today: * Required
  • Do you have any of the 4 following symptoms? * Required
    Do you have any of the 4 following symptoms? * 1) Fever (feeling hot to the touch, temperature of 37.8 celsius degrees or higher); 2) A squeaky or whistling noise when breathing (croup); 3) Cough that's new or worsening (continuous, more than usual), barking cough; 4) Difficulty breathing, shortness of breath (out of breath, unable to breathe deeply)
  • Are you experiencing any of the following otherwise unexplained symptoms? * Required
    Muscle ache, fatigue, headache, sore throat, hoarse voice (more rough or harsh than normal), difficulty swallowing, stuffy, congested or runny nose, chills, lost sense of taste/smell, digestive issues(nausea/vomiting, diarrhea, stomach pain), fatigue(lack of energy, extreme tiredness), falling down more than usual.
  • Have you had close contact with someone who has, or is suspected of having, COVID-19? * Required
  • Have you travelled outside of Canada in the past 14 days? * Required
  • Have I had close contact with someone who has travelled internationally and has a fever and/or cough and/or difficulty breathing? * Required
  • This field is for validation purposes and should be left unchanged.

 
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