BPC User Health Check Form
To be filled out ONLY when you enter the office. If you are sick /experiencing any symptoms of cold or flu, please STAY HOME. If you are working from home DO NOT fill out this form. Thermometer is on the sacristy table outside of Carolee's office for your temperature check.
https://www.nj.gov/governor/news/news/562020/20201028a.shtml
Link to NJ pandemic guidelines
NAME
Temperature
Are you experiencing any of the COVID 19 symptoms below? :
Submit
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