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COVID-19 FILLABLE REQUIRED NOTIFICATION FORM Per 105 CMR 164.035×H) all licensed and funded substance use treatment programs must report positive cases of COVID-19 to BIAS through the Required Notification

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How to fill out covid-19 required notification form

01

To fill out the Covid-19 required notification form, follow these steps:

02

Start by obtaining a copy of the form, either in a physical format or by accessing it online.

03

Begin by writing the current date in the designated space at the top of the form.

04

Provide your personal information, including your full name, address, phone number, and email address.

05

Fill in the details regarding your recent travel history, including countries visited and dates of travel.

06

Next, disclose if you have had any known exposure to individuals who tested positive for Covid-19.

07

If you are experiencing any symptoms related to Covid-19, indicate them on the form.

08

Finally, sign and date the form to certify its accuracy and completeness.

09

Make sure to review your filled-out form for any errors before submitting it.

Who needs covid-19 required notification form?

01

Any individual who has been requested to provide a Covid-19 required notification form needs to fill it out.

02

This may include individuals who have recently tested positive for Covid-19, those who have had close contact with Covid-19 positive individuals, or individuals who have traveled to high-risk areas.

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What is covid-19 required notification form?

The covid-19 required notification form is a document used to notify authorities about positive cases of covid-19 within a particular organization or group.

Who is required to file covid-19 required notification form?

Employers and organizers of events or gatherings are required to file the covid-19 required notification form when there is a positive case of covid-19 among their employees or attendees.

How to fill out covid-19 required notification form?

The covid-19 required notification form can be filled out online or in paper form. It typically requires information such as the name of the organization, date of positive test, and contact details of the affected individual.

What is the purpose of covid-19 required notification form?

The purpose of the covid-19 required notification form is to help authorities track and prevent the spread of covid-19 by identifying and isolating positive cases in a timely manner.

What information must be reported on covid-19 required notification form?

Information that must be reported on the covid-19 required notification form includes the name of the affected individual, date of positive test, and contact details for follow-up.

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