Has the person listed below…
- …within the last 10 days been diagnosed with COVID-19 or had a test confirming he or she has the virus?
- …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.
- …had any one or more of these symptoms today or within the past 3 days??
• Fever or chills
• Shortness of breath or difficulty breathing
• Loss of taste or smell
- …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?
• Muscle or body aches
• 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 - 7:52 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.