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All Sites and FacilitiesCOVID19 Case Interview Form the northern way of caring Page 1 of 4When form completed please send to Northern Health via FAX to the CD Hub at 2506457995 or via Kite works within

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How to fill out covid-19 case interview form

01

Start by providing your basic personal information such as name, contact information, and address.

02

Answer questions about your recent travel history and any potential exposure to COVID-19.

03

Provide details about any symptoms you may be experiencing, including when they started and their severity.

04

Include information about any contact you may have had with individuals who have tested positive for COVID-19.

05

Double-check all information provided to ensure accuracy before submitting the form.

Who needs covid-19 case interview form?

01

Individuals who suspect they may have been exposed to COVID-19 and are seeking testing and medical assistance.

02

Healthcare professionals conducting assessments and monitoring of COVID-19 cases within their communities.

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What is covid-19 case interview form?

The covid-19 case interview form is a document used to collect information regarding a confirmed or suspected case of Covid-19.

Who is required to file covid-19 case interview form?

Healthcare providers and organizations are required to file the covid-19 case interview form when a positive case is identified.

How to fill out covid-19 case interview form?

The form can be filled out electronically or manually and must include details such as symptoms, test results, and contact information.

What is the purpose of covid-19 case interview form?

The purpose of the form is to track and monitor Covid-19 cases, identify potential outbreaks, and implement control measures.

What information must be reported on covid-19 case interview form?

Information such as patient demographics, symptoms, travel history, and close contacts must be reported on the form.

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