SAHS Building Covid-19 Screening
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Name *
Have you traveled in the past 10 days
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Have you Recently Tested for Covid-19 and awaiting results? *
Have you had any close contact in the last 14 days with anyone with Covid-19 *
Have you or a member of your household had any of the symptoms in Fever, Sweats, Chills within the last 24 hours 100.4 . Any Sore throat, cough, body aches . *
Have you had Shortness of Breath or Chest Tightness? *
Have you had a loss of Taste or Smell, Diarrhea/Nausea/Vomiting? *
What is your Current Temperature?
If you answered YES to any of the questions, you MUST speak with the health care staff member, for further instructions. *
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