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Policies & Safety Procedures During COVID-19 Pandemic

Integrated Health & Wellness Centre is committed to ensuring the highest standards of safety at all times, but even more so during COVID-19. Below is an in depth list of the various levels of precautions we are taking at this time.

To return to treatment, there are some guidelines that you, your Chiropractor and their staff must follow for everyone’s safety.

Before you arrive, please read and adhere to the instructions on the COVID-19 screening.

COVID-19 SCREENING

All patients, visitors and staff must answer NO to ALL the following questions to be allowed at any of the clinics:

  1. Do you have a Fever?
  2. Do you have a New Onset Cough?
  3. Do you have a Worsening Chronic Cough?
  4. Do you have Shortness of Breath?
  5. Do you have Difficulty Breathing?
  6. Do you have a Sore Throat?
  7. Do you have Difficulty Swallowing?
  8. Do you have a Decrease or Loss of Sense of Taste or Smell?
  9. Do you have Chills?
  10. Do you have Headaches?
  11. Do you have Unexplained Fatigue / Malaise / Muscle Aches (Myalgias)?
  12. Do you have Nausea / Vomiting, Diarrhea, Abdominal pain?
  13. Do you have Pink Eye (conjunctivitis)?
  14. Do you have Runny Nose, or Nasal Congestion without known cause – in absence of underlying reason for these symptoms such as seasonal allergies, post-nasal drip, etc.?
  15. Do you have Flu/Cold-Like Symptoms or Generally Feeling Unwell?
  16. Did you have close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?
  17. Did you have a confirm case of COVID-19 or had close contact with a confirmed case of COVID-19?
  18. If you are 70 years of age or older, are you experiencing any of the following symptoms:
    Delirium? Unexplained or Increased Number of Falls? Acute Functional Decline, or Worsening of Chronic Conditions?

>> If you have ANSWERED YES to ANY of the above questions, DO NOT COME TO THE CLINIC.

If you exhibit symptoms of COVID-19, please follow the advice of public health officials. Complete your self-assessment and report your symptoms by following the steps below.

  1. Complete the Ontario Government’s Self-Assessment.
  2. Contact an appropriate medical authority to report your condition and seek treatment if necessary.
  3. Contact Telehealth Ontario at 1-866-797-0000.
  4. Contact your Public Health Unit.
  5. Contact your family physician.
>> If you have ANSWERED NO to ALL of the above questions. Call us to book your appointment!

CLINIC AND STAFF GUIDELINES & PROCEDURES

    1. Only TWO practitioners will be in the clinic at any given time, at the North York location.
    2. Only ONE practitioner will be in the clinic at any given time, at the Richmond Hill location.
    3. The clinic will have the appropriate PPE supplies for all staff.
    4. Maintain physical distancing of two meters whenever possible. Everyone should remain two meters away from each other when in the office. Appropriate PPE (e.g. surgical /procedural mask) will be used when having your examination or treatment within two meters.
    5. NO walk-in patients are to be accepted at this time.
    6. NEW patients are required to call the clinic and be screened appropriately. (See above COVID-19 Screening Procedure).
    7. EXISTING patients are required to call the clinic and be screened appropriately. (See above COVID-19 Screening Procedure).
    8. Each Chiropractic appointment will be scheduled every 30 minutes in a staggered manner. The patient interaction is to be a maximum of 20 minutes and 10 minutes will be allocated to sanitization procedures between patients (see below).
    9. Patients will be directed to wait outside the main door. The door is to be LOCKED between patients. Waiting rooms are NOT to be used.
    10. Patients have been instructed to come alone to appointments. If someone has accompanied them, that individual is NOT allowed in the clinic and must wait for them outside the clinic.
    11. CASH Payment at the clinic is not to be accepted at this time.
    12. VISA, MasterCard and E-Transfer is accepted.
    13. Practitioners will NOT shake hands with patients.
    14. Practitioners will have available to them gloves and surgical masks to be used at their discretion. Gloves will be discarded after one patient use. Hand washing will also be done after each patient use. One mask is sufficient for one practitioner shift, especially due to world shortages. Practitioner are NOT to touch the filter of the mask.
    15. Close contact and/or manual care should be done with the greatest caution.
    16. Practitioner schedules are limited and shorten and thus it is strongly advised that they DO NOT bring food to the clinic and that they eat before or after their shifts.
    17. Practitioners are required to wear a set of clean clothes during their shift. They must change out of those clothes at the end of the shift for commute home and clothing worn during their shift is to be washed and not reused.
    18. Practitioners will have specific work clothes and home clothes and clean work clothes every day.
    19. Practitioners will wash their hands between each patient visit.
    20. Practitioners should not go anywhere after their shift besides to their homes. They are strongly encouraged to shower immediately upon arrival at home.

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SANITIZATION PROCEDURES BETWEEN PATIENTS

  1. Hand Hygiene – Practitioner will wash their hands immediately for at least 20 seconds with warm water and soap before directing the patient out of the clinic.
  2. Practitioner will immediately clean any area used with the patient with disinfected wipes or sprays. This includes any equipment, diagnostic tools, treatment tables, treatment tools, treatment surfaces, door handles, and any other item(s) used.
  3. Regularly cleaned and disinfecting of the clinic.
  4. Practitioners will thoroughly wash their hands AGAIN for at least 20 seconds with warm water and soap.
  5. Hand sanitizer should then be applied.

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SANITIZATION PROCEDURES DURING THE DAY AND END OF DAY

  1. Deep clean all other areas of the clinic that are “traffic areas”. This includes reception desk, and other clinic areas.
  2. End of day deep clean over and above COVID-19 protocol of treatment area used throughout the shift.
  3. Cleaning is to be done with disinfectant wipes and/or sprays.

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PATIENT GUIDELINES & PROCEDURES

  1. Patients are to wait outside of the clinic and will be allowed access only during their scheduled appointment times. The doors will otherwise be locked.
  2. Patients can be called on their cell phones to alert them to enter the clinic. The doors will otherwise be locked.
  3. Patients only will be allowed access to the clinic. If someone has accompanied them they will need to wait outside of the clinic. No one will be allowed to wait in the reception area.
  4. Patients should limit the number of items brought into the clinic to bare minimums.
  5. Patient’s forehead temperature will be taken when entering the clinic. Anyone who exhibits a forehead temperature greater than 37.8° Celsius will not be treated and politely asked to leave. Patients exhibiting a possible or probable fever will be denied therapy and asked to leave and to report their findings to Public Health, Telehealth Ontario and their family physician.
  6. Patients will be required to use HAND SANITIZER on all areas of hands and wrist before entering the clinic, and after leaving the clinic. It is also recommended that patients also wash their hands again as soon as you get to your home.
  7. Patients are encouraged to wear their own masks. If they do not have access to a mask, one will be provided.
  8. Patients should not touch their faces during their appointments.
  9. Patients may not pay in CASH.
  10. Patients will pay contact-less payment, receipts will be emailed.
  11. If patients need to cough or sneeze at any point, they are to advise the practitioner as soon as possible and direct it into a tissue or their sleeve at the elbow. They will then be required to sanitize again.
  12. Unless it is an absolute EMERGENCY, we ask patients NOT to use our washroom facilities.


Covid-19 Procedures Integrated Health & Wellness Centre | (416) 445-1564