COVID-19 Attestation Forms (Ontario Medical Association)

On behalf of Ontario’s doctors, the Ontario Medical Association’s position is that doctors’ notes for clearance to return to work, recreational activities, school or child care are not an appropriate use of primary care resources, especially while COVID-19 causes unprecedented strain on the health-care system. Requiring doctors’ notes may also increase risk of exposure for patients. The Ontario Ministry of Health also recommends against requiring doctors’ notes to clear students and staff to return to school. 1 Instead, we recommend that parents complete this COVID-19 Self-Attestation Form to assess whether it is safe and/or prudent for their child to return to school, child care, or recreational activities according to COVID-19 clearance guidance from the Ontario Ministry of Health.2 3

These forms can be used instead of a doctor’s note for return to usual activities.

NOTE: The forms are not appropriate for:

  • health care workers,
  • individuals with severe immune compromise*, or
  • individuals who received care for COVID-19 in a hospital Intensive Care Unit (ICU).
  • Examples of individuals who are severely immune compromised include those who are undergoing cancer chemotherapy, have an untreated HIV infection, or are taking immune suppressive medications


4279 Hixon St., Beamsville, ON L0R 1B0
Phone: 905-563-5315 · After Hours: 1-866-553-7205
Mon-Thurs 8:30am - 8:00pm, Fri 8:30am-5:00pm