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Ebola Screening Questionnaire PLEASE READ Once completed, please email or post the form back to us. NOTE: Form not compatible with iMac and MacBook. CONFIDENTIAL Due to the recent (END) Ebola Virus

How to fill out ebola screening

How to fill out Ebola screening:

1. Gather all necessary documents and forms provided by health authorities or medical professionals.
2. Start by filling out personal information, including your full name, date of birth, and contact information.
3. Provide a detailed travel history, including the countries visited and the dates of your visit. Include any layovers or transit points as well.
4. Answer questions regarding symptoms you may have experienced, such as fever, cough, body aches, or gastrointestinal issues. Be honest and accurate in your responses.
5. If you have been in contact with someone diagnosed with Ebola or suspected of having Ebola, disclose this information in the appropriate section.
6. Depending on the form, you may be asked about your occupation and potential exposure to the Ebola virus through your work or activities.
7. Review the completed form thoroughly to ensure all information is accurate and legible.
8. Sign and date the form as required.
9. Submit the completed Ebola screening form to the designated authority or healthcare provider.

Who needs Ebola screening:

1. Individuals who have recently traveled to or from regions where an Ebola outbreak has been reported may need to undergo Ebola screening.
2. Healthcare workers who have been in direct contact with Ebola patients or have been working in healthcare facilities where Ebola cases have been treated.
3. Individuals who have had close contact with someone diagnosed with Ebola or suspected of having Ebola.

Note: The need for Ebola screening may vary depending on the specific guidelines and protocols set by health authorities and medical professionals in different regions. It is always recommended to follow the instructions provided by local health authorities and seek medical advice if needed.

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What is ebola screening?

Ebola screening is a process used to detect and monitor individuals who may have been exposed to the Ebola virus.

Who is required to file ebola screening?

Healthcare workers, travelers coming from areas with Ebola outbreaks, and individuals who have been in close contact with Ebola patients are required to undergo Ebola screening.

How to fill out Ebola screening?

Ebola screening forms can usually be filled out online or in person at a healthcare facility. The form typically requires providing personal information, travel history, exposure to the virus, and any symptoms.

What is the purpose of ebola screening?

The purpose of Ebola screening is to prevent the spread of the virus by identifying individuals who may have been exposed and monitoring them for symptoms.

What information must be reported on ebola screening?

Information such as personal details, travel history, contact with Ebola patients, and any symptoms related to Ebola must be reported on the Ebola screening form.