Health Sciences North

Request an Appointment at the COVID-19 Assessment Centre

There is no need to call the Assessment Centre to follow up with us after you have submitted this form. You will receive a confirmation number to verify the form is submitted successfully.

Our staff will call you to book your appointment. Response times vary depending on testing request volumes and can range anywhere between 2 and 48 hours.

Please be patient and follow Public Health guidelines while you are waiting for our call.

For all of your COVID questions/concerns, please visit the Public Health Sudbury & District website

Please ensure all information on this form is valid/correct in order for our team members to call you and book an appointment.

Fields marked with a * are required fields

Patient Information

Home Address Information

Job and Travel

In the last 14 days, have you been identified as a "close contact" of someone who currently has COVID-19?
  • this includes getting a COVID Alert exposure notifcation.
In the last 14 days, have you been in close physical contact with someone who either:
  • is currently sick with a new cough, fever, difficultly breathing, or other symptoms associated with COVID-19?
  • returned from outside of Canada in the last 2 weeks?

Symptoms

Are you experiencing any of the following symptoms? Choose any/all that are new and not related to seasonal allergies or pre-existing medical conditions.

Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher
Continuous, more than usual, not related to other known causes or conditions (for example, COPD)
Out of breath, unable to breathe deeply, not related to other known causes or conditions (for example, asthma)
Not related to other known causes or conditions (for example, allergies, neurological disorders)
Painful swallowing not related to other known causes or conditions (for example, seasonal allergies, acid reflux)
Not related to other known causes or conditions (for example, seasonal allergies, being outside in cold weather)
Conjunctivitis, not related to other known causes or conditions (for example, reoccurring styes)
Not related to other known causes or conditions (for example, tension-type headaches, chronic migraines)
Not related to other known causes or conditions (for example, irritable bowel syndrome, anxiety in children, menstrual cramps)
Fatigue, lack of energy, poor feeding in infants, not related to other known causes or conditions (for example, depression, insomnia, thyroid disfunction, sudden injury
For older people
For young children and infants

Select Preferred Site

We operate out of 3 sites; please consider your preference:

  • 2050 Regent Street (7 days/week, 1000-1620)
  • NEOMO on Prete Street
    (appointments weekdays 1000-1600; weekends 1300-1600)
  • PRIMACY at the super store
    (appointments weekdays 1600-1900; weekends 1200-1500)

Receive Email Confirmation (optional)

Please ensure your email address is valid as it will be used for validation and other online appointment related communication. By submitting my email, I consent to receive email communication from HSN related to my COVID-19 Assessment Centre visit. I understand that email is not a secure method of communication and therefore HSN cannot guarantee the security of messages sent by this method between myself and the hospital. By providing my email address, I declare that I have read this information, understand it and wish to proceed with email communications as outlined above.