COVID-19 Student Self Screening Assessment
Centre for Nursing Studies
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IMPORTANT If at the completion of the self-assessment you are directed to contact 811, please immediately contact your clinical or lab instructor to notify them that you must self-isolate until your symptoms are assessed by 811.
When you submit this form, you will be directed to a confirmation screen. This will have a link to the assessment you need to fill out. Please select "Yes" to indicate you are going to fill out the form:
Yes, I am going to click the link to fill out the Form.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Memorial University of Newfoundland.