MMG Corporate Building or Clinic COVID Screening

* denotes required field

First and Last Name *

Employee Number *

  • McLaren Employees: Use your employee number
  • Providers: Use the last 4 digits of your phone number followed by a "P"
  • Contractor / Vendor (without a McLaren HealthCare employee ID): Use "Contractor"
  • Students [all students without McLaren employee ID]: Use “Student”

Your Email Address: (please use your @mclaren.org email address if possible). *

Manager Name. *

For Contractor / Vendor/ Student use McLaren assigned name.
1. In the Search Box, type your manager's last name then hit Enter.
2. SELECT your Manager by CLICKING THE BUTTON IN FRONT OF THE NAME

   (they will get a copy of the email)

Screening Questions

Question 1

Question 2

Question 3

  • Cough, Fever (100.4 F or more)
  • Shortness of breath
  • Conjunctivitis (Red Eyes)
  • New loss of smell or taste
  • GI symptoms (diarrhea, vomiting, etc)
  • Repeated shaking with chills
  • Muscle pain
  • Headache
  • Sore Throat
  • Congestion, runny nose
  • Fatigue
  • Myalgia (muscle pain)
  • Arthralgia (joint pain)

Question 4