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COVID-19 Patient Screening Form PATIENT NAME: Before Appointment DATE:Office Appointment DATE:Are you over 60 years of age?YES / NOYES / Node you have a preexisting condition such as lung disease,
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Answer the questions related to your symptoms, recent travel history, and contact with confirmed cases of COVID-19.
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The covid-19-patient-screening-formdocx is a document used to screen patients for COVID-19 symptoms and potential exposure.
Healthcare providers and facilities are required to file the covid-19-patient-screening-formdocx for all patients entering their care.
The form can be filled out by healthcare staff asking patients a series of questions related to COVID-19 symptoms, travel history, and potential exposure.
The purpose of the form is to quickly identify patients who may be at risk of having COVID-19 in order to take appropriate precautions and ensure proper care.
Information such as symptoms, travel history, potential exposure to COVID-19, and current health status must be reported on the form.
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