Return to service sunnyfield clients close contacts

Symptom Assessment Form
 The Symptom Assessment Form is part of the return to service for Sunnyfield clients that have been classified as close contact exposures. 

Click the NSW Health button to find out the latest COVID-19 information.

Symptom Assessment Form
 

"*" indicates required fields

Please select Sunnyfield Service*
Manager's Name
Client's Name*

Questions for the client that was a close contact to a positive COVID-19 case

Did you complete a day 6 RAT or PCR test?*
What date did you complete the RAT or PCR test?*
What was the result?*
Do you have a runny nose?*
Do you have a cough?*
Are you suffering from shortness of breath?*
Max. file size: 128 MB.
Date of return to service*

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