COVID-19 Assessment Centre - Info for Health Care Providers

Lakeridge Health's COVID-19 Assessment Centres

By Appointment Only.

Last Updated: July 9, 2020

COVID Signs/Symptoms include one or more of the following:

  • Fever (Temperature of 37.8°C or greater)
  • Any new/worsening cough, shortness of breath (dyspnea), sore throat, difficulty swallowing, , new olfactory or taste disorder(s) (loss of taste or smell), nausea/vomiting, diarrhea, abdominal pain, runny nose or nasal congestion (in absence of underlying reason for these symptoms),
  • Clinical or radiological evidence of pneumonia.

Atypical signs/symptoms which should be considered particularly in children, older persons and those with developmental disability include:

  • Unexplained fatigue, malaise, myalgias (muscle aches)
  • Delirium (acutely altered mental status and inattention)
  • Unexplained or increased number of falls
  • Acute functional decline
  • Exacerbation of chronic conditions
  • Chills
  • Headaches
  • Croup
  • Conjunctivitis (red eyes)
  • Multisystem vasculitis in children (may include persistent fever, abdominal pain, conjunctivitis, nausea/vomiting/diarrhea, and rash)
  • Unexplained high heart rate
  • Decreased blood pressure
  • Unexplained hypoxia (low blood oxygen levels)
  • Lethargy/difficulty feeding in infants (if no other diagnosis)

Priorities for Symptomatic Testing

  1. Any Ontarian presenting with at least one of the above symptoms or signs should be considered for testing for COVID-19.

Priorities for Asymptomatic Testing

  1. Asymptomatic contacts of a confirmed case should be considered for testing for COVID-19 as soon as possible after identification of the case and within 14 days from their last exposure
  2. Asymptomatic cancer patients should be tested prior to starting on immunosuppressive cancer treatment
  3. All patients booked for radiation simulation should be tested 24-48 hours before their simulation appointment, except in exceptional circumstances
  4. All patients booked for systemic treatment where they would be deferred if COVID-19 positive, would have testing 24-48 hours before their initial appointment except in exceptional circumstances
  5. All patients booked for hematopoietic cell therapy should be tested 24-48 hours before their appointment
  6. In-centre hemodialysis patients who reside in long-term care, retirement homes, or other congregate living centres who have not been tested at their residence.  Ongoing periodic testing should take place.
  7. Newborns born to mothers with confirmed COVID-19 should be tested within 24-hours of delivery
  8. Patients entering a residential mental health or addiction program

Specific Settings:

  1. Facility transfers: any patient transferred between facilities (i.e. from hospital to hospital, long term care, retirement home, other congregate living setting, Repatriation to community hospitals and regional tertiary/quaternary centres, transfers from an acute site to a post-acute site)
  2. Hospitals: Testing prior to scheduled (non-urgent/emergent) surgery.  This will be reassessed regularly based on local community transmission and may change.
  3. Long-term care homes/nursing homes and retirement homes:  If a resident develops symptoms compatible with COVID-19 ALL asymptomatic residents in the same room should be tested immediately.  If a resident has laboratory confirmed COVID-19, ALL staff in the entire home and ALL residents should be tested
  4. Other congregate living settings and institutions: If there is a laboratory confirmed COVID-19 case, ALL staff and residents/attendees should be tested
  5. Remote/isolated/rural/Indigenous communities: If there is a COVID-19 case, all contacts of the case should be tested in consultation with local public health unit
  6. Workplace and community settings: If there is a COVID-19 case all contacts should be tested

Lakeridge Health’s two COVID-19 Assessment Centres are accepting referrals for assessment from Durham Region Health Department (DRHD), primary care providers in Durham Region and our emergency departments (EDs). 

Individuals who may have symptoms (typical and/or atypical) of COVID-19, or asymptomatic individuals that meet the above criteria for testing are asked to complete the online assessment form on Lakeridge Health’s website.

How does it work?

Community members who feel they need to be assessed for COVID-19 either based on symptoms or exposure concerns should fill out the online registration form. Symptoms are noted above.

Physicians/primary care clinic and Durham Region Health Department can also refer individuals to complete the online assessment form.

Once a form is submitted, the Centre will provide those individuals meeting criteria for COVID-19 testing a scheduled appointment in the clinic.  Patients with severe symptoms will be encouraged to call 911 or visit their local emergency department.

The COVID-19 Assessment Centre is by appointment only.

All patients who meet the Ministry of Health testing guidelines will be offered an appointment to obtain a COVID-19 swab at one of our testing sites. The appointment model enables the hospital to provide the right care for patients, support the important principle of social distancing and prevent unnecessary visits to the Assessment Centre or Emergency Department.

Assessment Centres Locations

Lakeridge Health's COVID-19 Assessment Centres are located at:

  • Oshawa Hospital’s G1 unit and
  • Ajax Pickering Hospital in a building adjacent to the hospital

Hours of Operation

Please Note: Oshawa Hospital's Assessment Centre will be closing at 4 p.m. on Thursday, July 9 and Friday, July 10.

  • Mondays to Fridays from 8 a.m. to 8 p.m. for Oshawa Hospital and 8 a.m. to 6 p.m. for Ajax Pickering Hospital.
  • Saturdays and Sundays from 8 a.m. to 4 p.m.

No walk-in patients are accepted. Patients will be contacted by the Assessment Centre based on the results of their assessment form.