OFE Daily Sign In
MUST BE COMPLETED ON DAY OF ADMISSION
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Full Name (First and Last)
How many family members are with you today?
No one in my party has had any COVID-19 symptoms in the last 24hours.
CONFIRM NO COVID SYMPTOMS LAST 24 HOURS
Do you have any guests with you today? There is a $3 guest fee.
A copy of your responses will be emailed to the address you provided.
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