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Daily Health Screening
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Daily Health Screening
DHS Form
Daily Health Screening Form:
Please make sure you share all the information needed so we can make sure everyone is safe :)
Create Instructions for this form
First Name:
Last Name:
Phone:
Email:
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Have you experienced Covid-19 Symptoms ?
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Check the box for any Symptoms you have felt recently?
Fever
Cough
Headache
Loss Taste or Smell
Send a copy of the completed form to this email address :
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