Contact Tracing
Tomo Contact Tracing
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Phone
*
Email
*
Are you experiencing any of these symptoms:
*
Yes
No
Cough, Fever, Difficulty Breathing, Shortness of breath, or Chest Pain?
Paragraph Text
Have you been in contact with someone confirmed to have COVID-19 in the last 14 days?
*
Yes
No
Paragraph Text
Ontario Self Assessment
Name
Submit
×