Please see our
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COVID-19 Visitor Screening (Downstairs)
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Your Full Name
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Have you experienced a fever of 99 degrees Fahrenheit (37.2 degrees Celsius) or greater, chills, a cough, loss of taste or smell, or shortness of breath within the past 10 days?
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In the past 10 days, have you tested positive for COVID-19 using a saliva test or a nose or throat swab?
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In the past 14 days, have you knowingly been in close contact (within 6 ft) with anyone who tested positive for COVID-19?
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Is your body temperature HIGHER than 99 degrees Fahrenheit (37.2 degrees Celsius)? Please take your temperature w/ our thermometer at the front desk.
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Regardless of your answer to the above question, please indicate the temperature you measured, include unit if not Fahrenheit:
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