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___ Patients Name (print)COVID19 VACCINE DECLINATION FORMA. Acknowledgement of Receipt of Education on COVID19 Vaccine and Understanding of RiskI UNDERSTAND that I am at risk of acquiring COVID19
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Cómo completar covid-19 home - cdph

01
Lávese las manos con frecuencia con agua y jabón durante al menos 20 segundos.
02
Use desinfectante de manos a base de alcohol si no hay agua y jabón disponibles.
03
Use una mascarilla facial cuando esté en público.
04
Mantenga una distancia de al menos 6 pies de otras personas.
05
Evite tocarse la cara, especialmente los ojos, la nariz y la boca.
06
Limpie y desinfecte superficies y objetos de uso común con regularidad.

¿Quién necesita covid-19 home - cdph?

01
Cualquier persona que tenga síntomas de COVID-19, haya estado en contacto con alguien diagnosticado con el virus, o haya viajado recientemente a áreas con brotes de la enfermedad, debe realizar la prueba en casa siguiendo las indicaciones del Departamento de Salud Pública de California.

What is COVID-19 Home - CDPH - CA.gov Form?

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El covid-19 home - cdph es un formulario utilizado para reportar casos de COVID-19 en el hogar a las autoridades de salud pública.
Cualquier persona que haya sido diagnosticada con COVID-19 o que presente síntomas compatibles debe presentar este formulario.
Para completar el formulario, se debe proporcionar información personal, detalles sobre el diagnóstico y síntomas, así como la información de contacto adecuada.
El propósito es ayudar a rastrear la propagación del virus y asegurar que se tomen las medidas adecuadas para la salud pública.
Se debe reportar información personal, resultados de pruebas, síntomas y cualquier contacto cercano con otras personas.
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