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Appendix ACOVID19 Workplace Health Screening Company Name: Employee: Date: Time In: 1. In the last 14 days, have you developed any of the following symptoms that are new/different/worse from baseline

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What is covid-19 - department of?

The Department of Health and Human Services (HHS)

Who is required to file covid-19 - department of?

Healthcare facilities and providers

How to fill out covid-19 - department of?

By submitting the required information online through the HHS portal

What is the purpose of covid-19 - department of?

To track and monitor the spread of COVID-19 cases and ensure resources are allocated effectively

What information must be reported on covid-19 - department of?

Number of cases, hospitalizations, deaths, and vaccination rates

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