Sa in Home Pre-screening Form - North Carolina

Sa in Home Pre-screening Form - North Carolina

Sa in Home Pre-screening Form is a legal document that was released by the North Carolina Department of Health and Human Services - a government authority operating within North Carolina.

FAQ

Q: What is the Home Pre-screening Form in North Carolina?
A: The Home Pre-screening Form in North Carolina is a questionnaire used to assess the risk of COVID-19 before entering a home.

Q: Why is the Home Pre-screening Form required in North Carolina?
A: The Home Pre-screening Form is required in North Carolina to help prevent the spread of COVID-19 and protect the health and safety of residents.

Q: Do I need to fill out the Home Pre-screening Form every time I enter a home in North Carolina?
A: Yes, the Home Pre-screening Form should be filled out every time you enter a home in North Carolina to ensure accurate and up-to-date information about your health status.

Q: What information is asked in the Home Pre-screening Form?
A: The Home Pre-screening Form asks for information such as your name, contact details, symptoms, recent travel history, and exposure to COVID-19 cases.

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Form Details:

  • Released on December 1, 2013;
  • The latest edition currently provided by the North Carolina Department of Health and Human 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 fillable version of the form by clicking the link below or browse more documents and templates provided by the North Carolina Department of Health and Human Services.

Download Sa in Home Pre-screening Form - North Carolina

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  • Sa in Home Pre-screening Form - North Carolina, Page 1
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