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 14 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 3 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 3 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”)

March 29, 2023 - 2:59 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.