COVID-19 - Daily Health Screening

  • MM slash DD slash YYYY
  • Confirm presence or absence or presence of the following symptoms you are experiencing:
  • Answer “No” or “Yes” to the following questions:
  • If your temperature exceeds 99.6 degrees, or you answer “Yes” to any of the foregoing questions, you must not come to the office or travel to any LTC related Destination, and instead, you should contact your physician and call Kieran at (231) 203-3119 to advise of your condition. We will ask you not to work in the office or travel to LTC related destinations until: (a) You have had 3 days with no fever and 7 days since onset of first symptom. (b) 14 days if you have had close contact with a diagnosed case of COVID-19 as described above. (c) 14 days following any activity or travel as described above.