Cleckler Heald-COVID-19 Screening
*This is a screening tool. If you are positive, you will need to see a doctor for further testing. You will not be allowed to return to work until you are cleared by a medical provider.

* If you have any of the COVID-19 symptoms, you will NOT be able to test on campus. Please seek medical attention.

*Mask will be required.
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Last Name *
First Name *
Please provide a cell phone number for testing results. Ex: 956-555-5555 *
If your screening results are positive, do you agree to seek medical attention? *
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