COVID-19 Screening

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COVID-19 Screening

Please complete this form ONLY if you have a current concern related to COVID illness. In order to minimize potential exposures, phone contact for healthcare assistance is advised by the CDC. If you would like an RN from Harding University Student Health to call and discuss your current status / symptoms, please complete and submit the form below. Until we call, please remain in your residence and avoid contact with others. We look forward to assisting you!

Email *

Your name *

Phone Number *

Your 10-digit phone number (***)***-**** (You will be contacted at this number. Be certain it is correct and a working number)

Are you a student or employee? *

Student

Employee

Other:

Residence *

Select your current residence hall/location

Chronic Health Conditions

Yes

Symptoms *

Do you have symptoms of COVID-19?

Yes

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