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Covid-19 Form
Covid-19 Health Declaration
Name
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First
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Email
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My temperature
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My body temperature is lower than 98.6°F/37.5°C
Covid-19 Symptoms
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I am not experiencing the symptoms: fever, cough, sore throat.
Contact
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I haven't been in close contact with a Covid-19 patient in the last 14 days.
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E.g. JD
Date
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Declaration
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I declare that the information I have provided is accurate and complete.
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