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Screening Form for Visitation at Congregate Settings for Vulnerable Adults and Children - Arizona
Screening Form for Visitation at Congregate Settings for Vulnerable Adults and Children is a legal document that was released by the Arizona Department of Health Services - a government authority operating within Arizona.
FAQ
Q: What is the purpose of the screening form?
A: The purpose of the screening form is to assess the risk of COVID-19 transmission before allowing visitation at congregate settings for vulnerable adults and children in Arizona.
Q: Who needs to fill out the screening form?
A: Both visitors and staff members of congregate settings for vulnerable adults and children in Arizona need to fill out the screening form.
Q: What information is required on the screening form?
A: The screening form requires information such as personal details, symptoms or exposure to COVID-19, travel history, and current health status.
Q: Can I visit a congregate setting without filling out the screening form?
A: No, filling out the screening form is mandatory for both visitors and staff members prior to visiting a congregate setting.
Q: How often do I need to fill out the screening form?
A: You need to fill out the screening form every time you visit a congregate setting or as directed by the administration of the setting.
Q: What happens if I have symptoms or exposure to COVID-19?
A: If you have symptoms or exposure to COVID-19, you may be denied entry to the congregate setting or asked to follow additional protocols.
Q: Is the screening form confidential?
A: Yes, the screening form information is confidential and will be used solely for the purpose of assessing the risk of COVID-19 transmission.
Q: Do I need to keep a copy of the completed screening form?
A: It is recommended that you keep a copy of the completed screening form for your records.
Q: Can I provide false information on the screening form?
A: Providing false information on the screening form is strongly discouraged and can jeopardize the health and safety of others.
Form Details:
- The latest edition currently provided by the Arizona Department of Health Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Arizona Department of Health Services.
Download Screening Form for Visitation at Congregate Settings for Vulnerable Adults and Children - Arizona
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