COVID SCREENING

MASK IS REQUIRED FOR YOUR OWN SAFETY

KEEP 6 FT. DISTANCE FROM EVERYONE AROUND YOU

START

QUESTION 1

HAVE YOU HAD THE FOLLOWING SYMPTOMS IN THE LAST 7 DAYS: FEVER OR CHILLS, NEW OR WORSENING COUGH, SHORTNESS OF BREATH, MUSCLE ACHES, SORE THROAT OR HEADACHE, LOSS OF TASTE, RUNNY NOSE, NAUSEA, VOMITTING & DIARRHEA?

YES     NO

QUESTION 2

IN THE PAST 14 DAYS, HAVE YOU HAD UNPROTECTED CONTACT WITH SOMEONE KNOWN TO HAVE TESTED POSITIVE FOR COVID-19?

YES     NO

QUESTION 3

DUE TO NEW SYMPTOMS, HAVE YOU HAD A COVID-19 SWAB IN THE LAST 14 DAYS?

YES     NO

QUESTION 4

DO YOU WORK FOR THE DEPARTMENT OF VETERANS AFFAIRS?

YES     NO

CLC/CREC

ARE YOU GOING TO CLC/CREC TODAY?

YES     NO

BODY TEMPERATURE DATA REQUIRED

SPEAK WITH THE SCREENER TO OBTAIN BODY TEMPERATURE DATA.

98.6°F or Below 98.7°F or Above

WHICH FACILITY ARE YOU VISITING TODAY?

AUBURN CHICO FAIRFIELD/TRAVIS AFB MARE ISLAND MARTINEZ MATHER MCCLELLAN OAKLAND REDDING YREKA YUBA

WHAT IS THE PURPOSE OF YOUR VISIT?

APPOINTMENT VISITING HOSPITALIZED VETERAN LABORATORY RADIOLOGY I am the caregiver and need to stay with the veteran

WHAT IS THE PURPOSE OF YOUR VISIT?

APPOINTMENT VISITING HOSPITALIZED VETERAN LABORATORY RADIOLOGY I am the caregiver and need to stay with the veteran

WHAT IS THE PURPOSE OF YOUR VISIT?

APPOINTMENT VISITING HOSPITALIZED VETERAN LABORATORY PHARMACY RADIOLOGY I am the caregiver and need to stay with the veteran

WHAT IS THE PURPOSE OF YOUR VISIT?

APPOINTMENT VISITING HOSPITALIZED VETERAN LABORATORY PHARMACY RADIOLOGY I am the caregiver and need to stay with the veteran

WHAT IS THE PURPOSE OF YOUR VISIT?

APPOINTMENT VISITING HOSPITALIZED VETERAN LABORATORY PHARMACY RADIOLOGY I am the caregiver and need to stay with the veteran

WHAT IS THE PURPOSE OF YOUR VISIT?

APPOINTMENT VISITING HOSPITALIZED VETERAN LABORATORY RADIOLOGY I am the caregiver and need to stay with the veteran

WHAT IS THE PURPOSE OF YOUR VISIT?

APPOINTMENT VISITING HOSPITALIZED VETERAN LABORATORY RADIOLOGY I am the caregiver and need to stay with the veteran

WHAT IS THE PURPOSE OF YOUR VISIT?

APPOINTMENT VISITING HOSPITALIZED VETERAN I am the caregiver and need to stay with the veteran

QUESTION 2

IN THE PAST 14 DAYS, HAVE YOU HAD UNPROTECTED CONTACT WITH SOMEONE KNOWN TO HAVE TESTED POSITIVE FOR COVID-19?

YES     NO

QUESTION 3

DUE TO NEW SYMPTOMS, HAVE YOU HAD A COVID-19 SWAB IN THE LAST 14 DAYS?

YES     NO

OK to proceed

Valid for

Keep your mask and wrist band on at all times until you leave the premises.


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