What is a COVID-19 Health Screening Form?
If used properly, a COVID-19 Health Screening Form can help to prevent the spread of illness and support contact tracing in a business environment. When making a COVID-19 Health Screening Form, you will need to be sure that your business meets the state and local regulations for reopening and returning to work. Before you allow customers and employees back, it is important that you are following all local rules and regulations. Ask a lawyer if you are unsure about the guidelines that apply to your business.
When to use a COVID-19 Health Screening Form:
- You are a business owner who wants to ensure the safety of your staff and customers.
- You want to ensure the safety of your employees.
of , , is monitoring the COVID-19 situation closely and following the directives of state and public health officials. To keep the health and safety of our community, you must fill out this declaration of health. This information will remain private and confidential unless it is necessary to contact trace any COVID-19 cases. Your information will not be used for any other purposes.
Have you now, or in the past 72 hours, had any of the following symptoms?
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