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Symptom Teleport Form St. Thomas University COVID-19 HEALTH AND ILLNESS REPORT FORM In order to assist STU in its response and management of the COVID-19 illness pandemic in the workplace, please

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How to fill out symptom self-report form

01

Begin by carefully reading each section of the symptom self-report form.

02

Fill out each section honestly and to the best of your ability.

03

Provide detailed information on your symptoms, including when they started and any triggers or aggravating factors.

04

If you are unsure about a question, do not hesitate to ask for clarification.

05

Review the completed form to ensure all necessary information has been provided.

06

Submit the form as instructed by your healthcare provider.

Who needs symptom self-report form?

01

Individuals who are experiencing symptoms and seeking medical attention.

02

Healthcare providers who are assessing patients' symptoms and medical history.

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What is symptom self-report form?

Symptom self-report form is a document where individuals report any symptoms they are experiencing related to a particular condition or illness.

Who is required to file symptom self-report form?

Individuals who are required to file symptom self-report form are usually patients or individuals under medical supervision.

How to fill out symptom self-report form?

Symptom self-report form can be filled out by providing information about the symptoms experienced, their severity, duration, and any other relevant details.

What is the purpose of symptom self-report form?

The purpose of symptom self-report form is to allow individuals to communicate their symptoms to healthcare providers for proper evaluation and treatment.

What information must be reported on symptom self-report form?

Information that must be reported on symptom self-report form includes the type of symptoms, when they started, how severe they are, and any factors that may worsen or improve them.

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