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COVID-19 Immunization Assessment Tool

COVID-19 Immunization

Important

The COVID-19 vaccine may not be given to those who have had a severe allergic reaction to any of the vaccine ingredients.

Please talk to your healthcare professional for advice before booking an immunization appointment if any of the following apply to you:

  • pregnant or breastfeeding
  • immunosuppressed or have an autoimmune or bleeding disorder

For more information on COVID-19 vaccines, please visit ahs.ca/covidvaccine.

If you are not in the current group of eligible health care workers and think you may have received the invite email in error, please report it here. To see the list of eligible health care workers, please visit the Government of Alberta vaccine website.

Any staff member or physician who tries to book an immunization if not eligible would be in breach of the Appropriate Prioritization of Access to Health Services Policy. This could lead to discipline up to and including dismissal.

CONTINUE

COVID-19 Immunization

Are you a healthcare worker employed in one of the following roles or settings:

  • Respiratory Therapist
  • Intensive Care Unit
  • COVID-19 Unit
  • Surgical Unit or Operating Room
  • Emergency Department
  • Medicine Unit
  • Long Term Care or Designated Supportive Living
  • Home Care Worker
  • Paramedics and Emergency Medical Technicians
  • Acute Care or Community Site with Variants of Concern (VOC) Outbreak
Yes No

COVID-19 Immunization

Sorry, you are not eligible for COVID-19 immunization at this time.

COVID-19 vaccine is being distributed through a phased immunization program. Exact amounts and timelines are subject to change. Alberta Health and Alberta Health Services are being very thoughtful and strategic around who will be eligible to receive vaccine as it becomes available in our province.

For more information on COVID-19 vaccine distribution in Alberta, please visit ahs.ca/covidvaccine.

COVID-19 Immunization

In the past 10 days, have you experienced any of the following:

  • fever
  • new onset of cough or worsening of chronic cough
  • new or worsening shortness of breath
  • new or worsening difficulty breathing
  • sore throat
  • runny nose
Yes No

COVID-19 Immunization

Please take the COVID-19 self-assessment.

Please complete the COVID-19 self-assessment for guidance on testing and isolation.

You are legally required to isolate or quarantine if:

  • you test positive for COVID-19.
  • you have a cough, fever, shortness of breath, runny nose, or sore throat that is not related to a pre-existing illness or health condition.
  • you have been in contact with someone known to have COVID-19.
  • you have travelled outside Canada within the last 14 days.

You may book a COVID-19 immunization appointment but select a date that is after your isolation or quarantine period.

CONTINUE

COVID-19 Immunization

In the past 14 days, did you return from travel outside of Canada, or did you have close contact with someone who is confirmed as having COVID-19?

Yes No

COVID-19 Immunization

Please take the COVID-19 self-assessment.

Please complete the COVID-19 self-assessment for guidance on testing and isolation.

You are legally required to isolate or quarantine if:

  • you test positive for COVID-19.
  • you have a cough, fever, shortness of breath, runny nose, or sore throat that is not related to a pre-existing illness or health condition.
  • you have been in contact with someone known to have COVID-19.
  • you have travelled outside Canada within the last 14 days.

You may book a COVID-19 immunization appointment but select a date that is after your isolation or quarantine period.

CONTINUE

COVID-19 Immunization

COVIDImmunizationFormV2.aspx?userType=hcw

Yes No