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PERSONAL INFORMATION FIRST NAME:LAST NAME:GENDER:CLUB AFFILIATION:STREET ADDRESS: CITY: STATE/PROVINCEPOSTAL CODE:CELL PHONE:ASSUMPTION OF THE RISK AND WAIVER OF LIABILITY RELATING TO CORONAVIRUS/COVID-19
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Start by entering your personal information such as name, date of birth, and contact details.
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Provide details about your current health status, including any symptoms you may be experiencing.
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If you have traveled recently, indicate the countries or regions you visited and the dates of travel.
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Answer questions regarding your exposure to individuals who have tested positive for covid-19.
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Specify if you have been tested for covid-19 before and include the test results.
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Covid-19 form is required for anyone who is experiencing covid-19 symptoms, has been in close contact with a confirmed positive case, or has recently traveled to high-risk areas.
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Covid-19 is an extremely contagious respiratory illness caused by the SARS-CoV-2 virus.
Healthcare providers, organizations, and government agencies are required to report cases of covid-19.
Covid-19 data can be filled out electronically or manually through reporting forms provided by health authorities.
The purpose of reporting covid-19 data is to track the spread of the virus, monitor public health, and implement control measures.
Information such as patient demographics, symptoms, test results, and contact tracing data must be reported.
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