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Sports Cleared by Seasonal ___Office Use Only ChecklistPEORIA UNIFIED SCHOOL DISTRICT #11 ATHLETIC INFORMATION Forefinger______ Birth Certificate Copy ___ Proof of Insurance ___ Physical Domicile Semester
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Start by providing your personal information, including your name, contact information, and any relevant medical history.
02
Answer questions regarding your symptoms, if any, including fever, cough, shortness of breath, etc.
03
Provide information on any recent travel history or exposure to individuals who have tested positive for COVID-19.
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Follow any additional instructions provided by the healthcare professional conducting the evaluation.

Who needs evaluation of a covid-19?

01
Individuals who are experiencing symptoms consistent with COVID-19
02
Individuals who have been in close contact with someone who has tested positive for COVID-19
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Individuals who are required to undergo testing for COVID-19 for work or travel purposes
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Evaluation of a covid-19 involves assessing the symptoms, test results, and overall health condition of an individual who has been infected with the virus.
Healthcare providers or authorized personnel are required to file evaluation of a covid-19 for patients who have tested positive for the virus.
Evaluation of a covid-19 is typically filled out by healthcare providers using specific forms provided by health authorities. The form includes details about the patient's symptoms, test results, and any treatment given.
The purpose of evaluation of a covid-19 is to track the spread of the virus, monitor the health of infected individuals, and provide appropriate medical care.
Information that must be reported on evaluation of a covid-19 includes the patient's demographic data, symptoms, test results, date of diagnosis, and any treatment received.
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