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CORONAVIRUS DISEASE19 (COVID-19) CONTACT INFORMATION FORM FOR LONGER CARE FACILITIES: HEALTHCARE PERSONNEL Name of Facility: Phone: () District/Program: Contact Person & Information: Date first completed:
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How to fill out coronavirus disease-19 covid-19 contact

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How to fill out coronavirus disease-19 covid-19 contact

01
Start by collecting the necessary information for the contact form, such as the personal details of the individual who had contact with a confirmed COVID-19 case.
02
Include information about the confirmed COVID-19 case, such as their test results, the date of the positive test, and any symptoms they experienced.
03
Clearly list the dates and durations of contact between the individual and the confirmed COVID-19 case.
04
Provide details about the nature of the contact, whether it was close and prolonged contact or casual contact.
05
Mention any preventive measures taken during the contact, such as the use of face masks or physical distancing.
06
Specify any symptoms or health changes experienced by the individual after the contact.
07
Sign and date the contact form to verify its authenticity.
08
Submit the completed contact form to the relevant health authorities or organizations dealing with COVID-19 cases.

Who needs coronavirus disease-19 covid-19 contact?

01
Anyone who has had contact with a confirmed COVID-19 case needs to fill out a coronavirus disease-19 contact form. This includes individuals who were in close and prolonged contact with the confirmed case, as well as those who had casual contact. It is important for contact tracing and disease control purposes to identify and monitor the individuals who may have been exposed to the virus.
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Coronavirus disease-19 (COVID-19) contact refers to an individual who has been in contact with someone confirmed to have COVID-19, which may require monitoring and reporting to health authorities.
Individuals who have been identified as close contacts of a confirmed COVID-19 case are required to file a COVID-19 contact report.
To fill out the COVID-19 contact form, individuals should provide their personal information, the details of their contact with the confirmed case, and any symptoms they may be experiencing.
The purpose of reporting COVID-19 contacts is to help public health officials track the spread of the virus and implement measures to prevent further transmission.
The information that must be reported typically includes the names, contact information, dates of exposure, and health status of the individuals involved.
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