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COVID-19 Screening Checks
Name
Phone Number
Please enter your location
Please enter Client's Name
Purpose of Visit
Visitor
Volunteeer
Current temperature
Question
Tick for 'Yes'
Are you experiencing flu-like symptoms (i.e. sore throat, cough, fever, runny nose)?
Have you been in contact with a confirmed case of Covid-19?
Have you, or anyone you have been in contact with, been in a COVID-19 case location in Australia or New Zealand in the last 14 days? Refer to the link below to identify case locations.
https://www.nsw.gov.au/covid-19/latest-news-and-updates
Submit