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COVID-19 Participant Wellness Check & Risk Assessment Participant: Informant: Assessment Date(s): Time(s) Mode of contact: Phone Email At Door Income Video Contact with: Participant Caregiver IHSS

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What is covid-19 participant wellness check?

Covid-19 participant wellness check is a form used to assess the health and well-being of individuals in relation to the Covid-19 pandemic.

Who is required to file covid-19 participant wellness check?

All individuals who are involved in activities where there is a risk of exposure to Covid-19 are required to file the participant wellness check form.

How to fill out covid-19 participant wellness check?

The covid-19 participant wellness check form can be filled out online or on paper by providing information about symptoms, exposure to the virus, and any recent travel history.

What is the purpose of covid-19 participant wellness check?

The purpose of the covid-19 participant wellness check is to monitor the health of individuals and prevent the spread of the virus by identifying potential cases early.

What information must be reported on covid-19 participant wellness check?

Information such as symptoms, exposure to the virus, recent travel history, and contact information must be reported on the covid-19 participant wellness check form.

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