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Name: Fillable Online Covid-19 Active Surveillance Form - September 2020 Fax Email Print - pdfFiller
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This form is designed for screening staff, parents, children, and visitors for COVID-19 symptoms and potential exposure, ensuring safety in facilities.

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What is covid-19 active surveillance form?

The COVID-19 active surveillance form is a document used to collect and report data related to COVID-19 cases, symptoms, and outcomes, aiming to monitor and control the spread of the virus.

Who is required to file covid-19 active surveillance form?

Individuals who have tested positive for COVID-19, healthcare providers, or institutions monitoring the health status of patients and communities may be required to file the COVID-19 active surveillance form.

How to fill out covid-19 active surveillance form?

To fill out the COVID-19 active surveillance form, you need to provide personal details, symptoms or test results, date of symptom onset, and any relevant exposure history.

What is the purpose of covid-19 active surveillance form?

The purpose of the COVID-19 active surveillance form is to gather essential data that helps public health authorities track the spread of the virus, implement effective measures, and respond to outbreaks.

What information must be reported on covid-19 active surveillance form?

Information typically reported includes personal identification, contact information, symptoms, testing results, date of diagnosis, and potential exposure sources.

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