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Family NameCurtin University Health ServiceFirst Rebuilding 109 Bentley Campus Appointments: 9266 7345Course of Study Student Number. Health services.Curtis.edu.caudate of Birth:Please copy this form
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This form is a document used for screening students for COVID-19 symptoms in January 2021.
School administrators, teachers, or healthcare professionals may be required to file the form.
The form can be filled out by entering student information and checking off symptoms or exposure to COVID-19.
The purpose of the form is to help identify and monitor potential COVID-19 cases among students.
Information such as student name, date, symptoms, and exposure history must be reported on the form.
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