COVID Check-in

Has the person listed below…

  1. …within the last 10 days been diagnosed with COVID-19 or had a test confirming he or she has the virus?
  2. …within the past 10 days, had close contact with someone who has been in isolation for COVID-19 or had a test confirming they have the virus? Close contact is less than 6 feet for 15 minutes or more.
  3. …had any one or more of these symptoms today or within the past 2 days??
    • Fever or chills
    • Cough
    • Shortness of breath or difficulty breathing
    • Loss of taste or smell
  4. …had any one or more of these symptoms today or within the past 2 days and that are new or not explained by another reason?
    • Fatigue
    • Muscle or body aches
    • Headache
    • Sore throat
    • Nausea, vomiting, or diarrhea

Do you answer “YES” to any of the above questions?  (Please select yes/no and click “save”)

December 02, 2021 - 6:54 am

NOTE:  If you answer “YES” please explain why in the “Notes” section (e.g., experiencing symptoms, had contact with someone, etc.)

No record was found.