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Healthcare Worker COVID-19 Close Contact Information Leaflet
V18.0, 10th Feb 2021
Please read this letter and the enclosed information leaflets carefully.
PLEASE NOTE: Because the Novel Coronavirus
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How to fill out healthcare worker covid-19 close

How to fill out healthcare worker covid-19 close
01
To fill out the healthcare worker COVID-19 close, follow these steps:
02
Start by providing your personal information such as your full name, contact details, and date of birth.
03
Next, you need to mention your job title and the healthcare facility you work for.
04
Specify the dates and duration of your close contact with a COVID-19 positive person.
05
Indicate whether you were wearing appropriate personal protective equipment (PPE) during the close contact.
06
Describe any symptoms you may have experienced after the close contact.
07
If you have undergone any COVID-19 testing, mention the dates and results of the tests.
08
Finally, sign and date the form before submitting it.
09
Make sure to review all the information you have provided before submitting the form.
Who needs healthcare worker covid-19 close?
01
Healthcare workers who have had close contact with a COVID-19 positive person need to fill out the healthcare worker COVID-19 close form.
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What is healthcare worker covid-19 close?
Healthcare worker covid-19 close is a form used to report instances of healthcare workers being in close contact with individuals who have tested positive for Covid-19.
Who is required to file healthcare worker covid-19 close?
Healthcare facilities and employers are required to file healthcare worker covid-19 close.
How to fill out healthcare worker covid-19 close?
Healthcare worker covid-19 close can be filled out online or in paper form, with details of the close contact and relevant information.
What is the purpose of healthcare worker covid-19 close?
The purpose of healthcare worker covid-19 close is to track and monitor exposure of healthcare workers to Covid-19 in order to prevent further spread.
What information must be reported on healthcare worker covid-19 close?
Information such as the date of close contact, duration, and details of the individual who tested positive for Covid-19 must be reported on healthcare worker covid-19 close.
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