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Anchorage Dojo Coronavirus/COVID-19 Questionnaire and Waiver form Please complete all questions below, Read the Waiver, sign, and date it, and bring with you to Anchorage Dojo. You will need this
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To fill out the www.dhss.alaska.gov/dph/Epi/id/Pages/COVID-19/ website in the Alaska Department, follow these steps:
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Visit the website www.dhss.alaska.gov/dph/Epi/id/Pages/COVID-19/
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Look for the section or form titled 'COVID-19 Reporting'
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Fill in the required personal information, such as name, contact details, and any other requested information
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Provide accurate information about the COVID-19 symptoms, travel history, and exposure to the virus
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Anyone in the Alaska Department who suspects they might have COVID-19, has been tested positive for COVID-19, or has been exposed to someone with COVID-19 needs to fill out www.dhss.alaska.gov/dph/Epi/id/Pages/COVID-19/. This includes residents, healthcare workers, employers, and other individuals who are seeking to report and monitor COVID-19 cases in Alaska.
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wwwdhss.alaska.gov/dph/Epi/id/Covid-19 is a reporting form for healthcare providers to report COVID-19 cases in Alaska.
Healthcare providers in Alaska are required to file wwwdhss.alaska.gov/dph/Epi/id/Covid-19.
Healthcare providers can fill out the wwwdhss.alaska.gov/dph/Epi/id/Covid-19 form electronically or by fax.
The purpose of wwwdhss.alaska.gov/dph/Epi/id/Covid-19 is to track and monitor COVID-19 cases in Alaska.
Healthcare providers must report information such as patient demographics, symptoms, test results, and potential exposures on wwwdhss.alaska.gov/dph/Epi/id/Covid-19.
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