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Todays Date: ___ Patients Name: ___1. Within the last 14 days, have you been sick with a fever, chills or fatigue (flulike symptoms)? Have a dry cough? Or experiencing a shortness of breath? Have
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How to fill out fever cough and fatigue

01
Take your temperature using a thermometer to check for fever.
02
Document any coughing symptoms, including frequency and severity.
03
Note any feelings of fatigue or extreme tiredness.
04
Seek medical attention if you are experiencing these symptoms for a prolonged period of time.

Who needs fever cough and fatigue?

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Anyone who is experiencing symptoms of fever, cough, and fatigue should seek medical advice to determine the underlying cause and receive proper treatment.
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Fever, cough, and fatigue are symptoms commonly associated with illnesses such as the flu or COVID-19.
Individuals who are experiencing these symptoms or healthcare providers who diagnose patients with these symptoms are required to report fever, cough, and fatigue.
To report fever, cough, and fatigue, individuals can fill out a symptom diary or communicate with their healthcare provider.
The purpose of reporting fever, cough, and fatigue is to track the spread of illnesses and provide data for public health efforts.
Information such as the date of onset of symptoms, severity, and any relevant medical history may need to be reported.
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