Form preview

Get the free COVID-19 Exposure Action Chart - University Health Services

Get Form
Fever of 100.0 F in past 72 hours? Close or inperson contact with anyone tested positive for COVID19 in past 14 days?Yes / No Yes / No Yes / NoYes / No Yes / No Yes / NoYes / No Yes / No Yes / NoYes
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign covid-19 exposure action chart

Edit
Edit your covid-19 exposure action chart form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your covid-19 exposure action chart form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit covid-19 exposure action chart online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in to your account. Start Free Trial and register a profile if you don't have one.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit covid-19 exposure action chart. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out covid-19 exposure action chart

Illustration

How to fill out covid-19 exposure action chart

01
Begin by identifying whether you have been exposed to someone who has tested positive for COVID-19.
02
If you have been exposed, record the date and duration of exposure.
03
Note any symptoms you may be experiencing and the date they started.
04
Consult the chart to determine the appropriate action based on your level of exposure and symptoms.
05
Follow the recommended steps outlined in the chart, such as getting tested, self-isolating, or monitoring your symptoms.

Who needs covid-19 exposure action chart?

01
Anyone who has been in close contact with a person who has tested positive for COVID-19 needs to fill out the exposure action chart.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.9
Satisfied
29 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Once your covid-19 exposure action chart is complete, you can securely share it with recipients and gather eSignatures with pdfFiller in just a few clicks. You may transmit a PDF by email, text message, fax, USPS mail, or online notarization directly from your account. Make an account right now and give it a go.
Yes, you can. With the pdfFiller mobile app, you can instantly edit, share, and sign covid-19 exposure action chart on your iOS device. Get it at the Apple Store and install it in seconds. The application is free, but you will have to create an account to purchase a subscription or activate a free trial.
Use the pdfFiller Android app to finish your covid-19 exposure action chart and other documents on your Android phone. The app has all the features you need to manage your documents, like editing content, eSigning, annotating, sharing files, and more. At any time, as long as there is an internet connection.
The COVID-19 Exposure Action Chart is a tool designed to help organizations determine the appropriate actions to take when there is exposure to COVID-19, providing guidelines for notifying staff, isolating affected individuals, and implementing safety measures.
Employers, particularly those in healthcare and essential services, are typically required to file the COVID-19 Exposure Action Chart to document exposure incidents and their responses to ensure compliance with health regulations.
To fill out the COVID-19 Exposure Action Chart, one must provide details about the exposure incident, including the date of exposure, individuals affected, actions taken in response, and any follow-up measures implemented.
The purpose of the COVID-19 Exposure Action Chart is to systematically document exposure incidents and ensure that proper protocols are followed to mitigate the spread of the virus, promoting a safe work environment.
The information that must be reported includes the date of exposure, the identity of the exposed individuals, details of the exposure circumstances, actions taken in response, and any testing or quarantine measures enacted.
Fill out your covid-19 exposure action chart online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.