UP Baguio HSO - Daily Health Declaration
UP Baguio HSO - Health Declaration Checklist Form v1.01

For the health and safety of the UPB employees and visitors entering the campus, a declaration of the present health status is required. Please be accurate and truthful in providing information in this form. Your contact details are required for medical advice and to facilitate contact tracing as deemed necessary. Seek immediate medical advice if you have any Influenza-like signs and symptoms (fever, colds, cough, body pains, sore throat, loss of taste/smell).

INSTRUCTIONS:

Please accomplish this form no more than 12 hours before reporting for duty or work at UP Baguio Campus. For your relevant questions or concerns, please contact hso.upbaguio@up.edu.ph.

For technical support concerns about this form, please contact sysnet.upbaguio@up.edu.ph.
Email *
Next
Never submit passwords through Google Forms.
This form was created inside of University of the Philippines. Report Abuse