Download:
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pdfVIPr Mobile Check-In Covid Screener 1
Original
Change:
We amended the language to reflect current CDC
guidance.
Do you have any new or worsening symptoms of
COVID-19 including:
• Fever (100.4 degrees or higher);
• Cough or sore throat;
• Shortness of breath or difficulty breathing;
• Fatigue;
• Muscle pain or body aches;
• Headache;
• New loss of taste or smell;
• Congestion or runny nose; or
• Nausea, vomiting, or diarrhea?
VIPr Mobile Check-In Covid Screener 2
Original
Change:
We amended the language to reflect current
CDC guidance.
Have you:
Within the last 10 days:
•
Been diagnosed with COVID-19;
•
Received instructions from a public health authority (local health authority,
medical professional, etc.) to self-monitor for symptoms of COVID-19 or
self-quarantine due to COVID-19;
•
Been tested for COVID-19 and are awaiting the results (other than for
travel purposes); or
•
Been in close physical contact with anyone who was diagnosed with
COVID-19 or developed symptoms consistent with COVID-19?
Close physical contact is defined as being within 6 feet of an
infected/symptomatic person for a cumulative total of 15 minutes or more over a
24-hour period starting from 48 hours before illness onset (or, for asymptomatic
individuals, 48 hours prior to test specimen collection).
Within the last 5 days:
•
Traveled outside the country by means other than land travel, such as car,
bus, ferry, or train?
File Type | application/pdf |
File Title | Email Message: Screen changes |
Author | Haas, Glenn |
File Modified | 2022-03-31 |
File Created | 2022-03-31 |