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COVID-19 Active Surveillance Form Facility Name: Database (LAST NAME, first name)Page of Jun20Who is being screened (parent/staff/ child/essential visitor? Week of: To be completed for parent/caregiver,

How to fill out covid-19 active surveillance form

How to fill out covid-19 active surveillance form

1. To fill out the Covid-19 active surveillance form, follow these steps:
2. Start by providing basic information such as your name, contact details, and date of birth.
3. Next, answer questions about your current symptoms, if any. It is important to report any symptoms you may be experiencing
4. Then, provide details about any recent travel history or close contact with someone who has tested positive for Covid-19.
5. Make sure to answer all the questions honestly and accurately.
6. Submit the form by clicking the submit button.
7. If you have any further concerns or need assistance, reach out to the designated contact.

Who needs covid-19 active surveillance form?

1. Anyone who may be experiencing Covid-19 symptoms, has a recent travel history, or has come in close contact with a positive case should fill out the Covid-19 active surveillance form. It is important for monitoring and tracking purposes, and helps in taking necessary actions to control the spread of the virus.

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What is covid-19 active surveillance form?

The COVID-19 active surveillance form is a document used for monitoring and tracking individuals who may be exposed to COVID-19, ensuring that appropriate public health measures are implemented.

Who is required to file covid-19 active surveillance form?

Individuals who have tested positive for COVID-19, healthcare providers, and facilities that report cases to health authorities are required to file the COVID-19 active surveillance form.

How to fill out covid-19 active surveillance form?

To fill out the COVID-19 active surveillance form, provide personal information, including name, contact details, symptoms, test results, and any relevant exposure history as instructed on the form.

What is the purpose of covid-19 active surveillance form?

The purpose of the COVID-19 active surveillance form is to collect data for public health monitoring, which helps in understanding the spread of the virus, determining vaccination needs, and implementing control measures.

What information must be reported on covid-19 active surveillance form?

Information that must be reported includes personal details of the individual, symptoms, date of testing, results, exposure history, and vaccination status.