Mandatory COVID-19 Screening

Full Name*

Email*

Please Indicate any of the following that may apply to you:

Fever

Cough

Chills

Headache

Difficulty Breathing

Sore Throat

Runny Nose
(Not related to seasonal allergies)

Congestion
(Not related to seasonal allergies)

Have had a confirmed case of COVID - 19

Have been in close contact with a person who is sick or has a confirmed case of COVID-19 in the past 14 days

Have been in close contact with a person in the past 14 days who is being tested for COVID-19 or has a suspected case of COVID-19

No Symptoms

By agreeing, you verify that this information is correct*

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Cardinal Planning
417A Hazeldean Road Kanata, Ontario, CA K2L 4C6
Business: 613.271.3772
Toll Free: 1.888.737.2737

Manulife Securities is an indirectly, wholly-owned subsidiary of Manulife Financial Corporation (MFC). MFC owns The Manufacturers Life Insurance Company (MLI), a financial services organization offering a range of protection, estate planning, investment and banking solutions through a multi-channel distribution network. MLI owns Manulife Securities Incorporated, Manulife Securities Investment Services Inc. and Manulife Securities Insurance Inc. MLI also owns Manulife Bank of Canada, a federally chartered Schedule 1 bank, which in turns owns Manulife Trust Company, a federally chartered trust company. Please confirm with your advisor which company you are dealing with for each of your products and services. Please confirm with your advisor which company you are dealing with for each of your products and services. Stocks, bonds and mutual fund products and services are offered through MSI, Manulife Securities Incorporated is a Member of the Canadian Investor Protection Fund and a Member of the Investment Industry Regulatory Organization of Canada. Insurance products and services are offered through PB Fraser and Company Inc. and Manulife Securities Insurance Inc. Banking products and services are offered by referral arrangements through our related company Manulife Bank of Canada, additional disclosure information will be provided upon referral.

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