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COVID-19 12 Week Follow up Assessment Form Name: DOB: Address:Date of Assessment: __/__/__ MAN: Medical Card No.: Phone No.: Emergency Contact No.: Consultant: GP:ENCODE: Email Address: History of

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How to fill out covid-19 12 week follow

01

Obtain the covid-19 12 week follow up form from your healthcare provider or online portal.

02

Fill in your personal information such as name, date of birth, and contact information.

03

Answer the questions about any symptoms you may be experiencing and any changes in your health since your last follow up.

04

Provide information on any medications you are taking and any other medical conditions you may have.

05

Submit the completed form to your healthcare provider for review.

Who needs covid-19 12 week follow?

01

Individuals who have tested positive for covid-19 and are in need of ongoing monitoring and follow up care

02

Individuals who have been in close contact with someone who tested positive for covid-19 and need to be monitored for symptoms

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What is covid-19 12 week follow?

Covid-19 12 week follow is a required reporting process for tracking the health status of individuals who have tested positive for covid-19.

Who is required to file covid-19 12 week follow?

Individuals who have tested positive for covid-19 are required to file covid-19 12 week follow.

How to fill out covid-19 12 week follow?

Covid-19 12 week follow can be filled out online through a designated portal provided by the health department.

What is the purpose of covid-19 12 week follow?

The purpose of covid-19 12 week follow is to monitor the health progression of individuals who have tested positive for covid-19 and to ensure proper care and support.

What information must be reported on covid-19 12 week follow?

Information such as symptoms experienced, recovery progress, and any ongoing health concerns must be reported on covid-19 12 week follow.

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