Do you have a concern for a potential COVID-19 infection for the person?

Yes

Did the person have close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?

Yes

Does the person have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?

Yes

If the person is 70 years of age or older, are they experiencing any of the following symptoms:

Delirium

Unexplained or increased number of falls

Acute functional decline

Worsening of chronic conditions

None of the above

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