Get the free Coronavirus Self Declaration Form - Bethlehem Centre

Coronavirus Self Declaration Form First Name: Last Name: Street Address: Province:Postal Code:Phone #: Email: Have you travelled off Vancouver Island in the last 2 weeks? YesNoHave you have been in

How to fill out coronavirus self declaration form

How to fill out coronavirus self declaration form

1. To fill out the coronavirus self-declaration form, follow these steps:
2. Obtain the self-declaration form either online or from a designated health authority.
3. Read the form thoroughly to understand the information required.
4. Provide your personal details such as name, date of birth, and contact information.
5. Answer the questions related to your travel history, specifically if you have recently visited any high-risk areas or countries.
6. Declare any symptoms you are experiencing, such as fever, cough, or difficulty breathing.
7. Mention if you have come into contact with any confirmed or suspected COVID-19 cases.
8. Sign and date the form to confirm the accuracy of the provided information.
9. Submit the completed form to the relevant health authorities as instructed.

Who needs coronavirus self declaration form?

1. The coronavirus self-declaration form is usually required for individuals who meet certain criteria such as:
2. - Travelers entering a particular country or region with active COVID-19 surveillance.
3. - Individuals with symptoms associated with COVID-19.
4. - Those who have been in close contact with confirmed or suspected COVID-19 cases.
5. - Patients seeking medical assistance in healthcare facilities or clinics.

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What is coronavirus self declaration form?

The coronavirus self declaration form is a document where individuals disclose their health status and potential exposure to the virus.

Who is required to file coronavirus self declaration form?

Anyone who has been in contact with someone who has tested positive for coronavirus, or who is exhibiting symptoms themselves, may be required to file the form.

How to fill out coronavirus self declaration form?

The form typically requires individuals to provide their personal information, recent travel history, symptoms they may be experiencing, and any potential exposure to the virus.

What is the purpose of coronavirus self declaration form?

The purpose of the form is to track and monitor the spread of the virus, as well as to take necessary precautions to prevent further transmission.

What information must be reported on coronavirus self declaration form?

Information such as personal details, recent travel history, symptoms experienced, and potential exposure to the virus must be reported on the form.