This webform is ONLY for use to pre-register for the Community Assessment Center located in Perth and Smiths Falls. Complete all required fields in the COVID-19 Community Assessment Centre Pre-registration form to submit the form. Within 24 hours you will be provided with a date and instructions for attending the assessment appointment. Perth and Smiths Falls District Hospital has made an exception has made an exception to allow the use of unencrypted email for preregistering during the declared emergency. In order for PSFDH to use unencrypted email, we must obtain the consent of the patient for this purpose. If you do not consent, please pre-register by phone at 613 283-2330 ex 1401.
Note: Please enter your name as it appears on your health card.