contact Us COVID-19 Pre-screen Form cOVID-19 PRE-SCREEN form Please enable JavaScript in your browser to complete this form.Please select the type of your request *New Patient InquiryCurrent Patient InquiryPatients will be limited into the office in order to support physical distancing rules.Name *FirstLastPhone Number *Email *EmailConfirm EmailMessage *Have you traveled internationally in the last 14 days? *YesNoIf you answer yes to this question, you are legally required to self-isolate for 14 days from the date of your arrival back into Canada. You are not eligible for chiropractic care at this time. Immediately self-isolate and follow COVID-19 instructions found on the alberta.ca website!Have you had unprotected close contact with individuals who have an active, confirmed, or presumptive diagnosis of COVID-19 (e.g. individuals exposed without appropriate PPE in use). *YesNoIf you answer yes to this question, you are not eligible for chiropractic care at this time. Immediately self-isolate and follow COVID-19 instructions found on the alberta.ca website!Symptoms of COVID-19: | fever or chills | headache | muscle or joint aches | new or changed chronic cough | sore throat or painful swallowing | runny or stuffy nose | shortness of breath or difficulty breathing | feeling unwell or new fatigue | nausea, vomiting, diarrhea or loss of appetite | loss of sense, smell or taste | conjunctivitis(Pink Eye) | ---< Do you currently have any symptoms of Covid-19? >--- ---< Please check any that apply to you. >--- *Fever or ChillsHeadacheMuscle or Joint AchesNew or changed Chronic CoughSore Throat or Painful Swallowing (not related to a known or preexisting condition)Runny Nose or Stuffy Nose (not related to a known or preexisting condition)Shortness of Breath or Difficulty Breathing (not related to a known or preexisting condition)Feeling unwell in general, new fatigue, or severe exhaustionNausea, Vomiting, Diarrhea or unexplained Loss of Appetite (Gastrointestinal symptoms)Loss of Sense of Smell or TasteConjunctivitis, commonly known as Pink EyeI do NOT have any COVID-19 symptomsIf you have any of these symptoms, you are not eligible for chiropractic care at this time. Immediately self-isolate and follow COVID-19 instructions found on the alberta.ca website!I have provided full disclosure of all information *I understand, upon my arrival, if I have not disclosed any symptoms or acquired new symptoms since submitting this form, I will be asked to leave and self-isolate. *I agreed to Terms of Use and Privacy Policies *I have read and agree to the Terms of Use and Privacy policies for this website. *Signature of Patient: *We will contact you to setup an appointment. You will be required to sign this form upon arrival.**********This section is for Huntington Chiropractic Clinic Use Only!********** *Date (mm/dd/yyyy):Signature of Pre-Screener:********************************************************************NameSEND MESSAGE office info Address Hunterhorn Plaza568 - 64 Avenue N.E.Calgary, Alberta.T2K 6H9 Email Send using our Email form Call 403-275-8567 FAX 403-275-5434 OFFICE HOURS Please Note: Our clinic hours may vary based on patient demand due to COVID-19. Monday – Friday 9:00 AM – 12:00 PM 2:00 PM – 6:00 PM Saturday Closed Sunday Closed Holidays Closed Facebook-f Linkedin OUR LOCATION Huntington Chiropractic in CalgaryWe are conveniently located in north central Calgary with easy access to Deerfoot Trail. Calgary Transit bus routes are located off 4th Street and 64th Avenue N.E.Free parking available and wheelchair accessible. CTransit Parking Accessible