RGB lLN2Ksn0f/jk2X/MPF/xAZj5PqPvbY8gi8gyWTrC0EizECEqwkJNBxI3qe22Ec9kFjNrpst0haxu Use the online COVID-19 self-assessment tool, contact 1-833-951-3859, or contact your primary care provider. S6LKwC69ZuCSCI2j5GjcTxrIwrUU6HfK/F8mXAyKwutNkiEFjcRTLAirxjdXKrSi1oT145UTbYAi 74 aG6fzBMlvOA0crWbqKGSSJa8oBSr28iiv8px9Hd96fUsuP8AnInyLb3lvaS+YphPcpbyRL9Tc/Bd USyc3Hx4hHklWp/m95G0zW7vRr28ljvLKWGG4KwSyxq0/HgS8auAvKQKSaDlt1zGMg20hR+eX5bt qbVjAJ/yh32y397/AKqPmw9H8z7EeLD8vyunf8g6n56gFYL9QipEH5AeqwaimqGo6gbnY5XxZd/3 HEhQnUYFZpTx5UNT8O7U2r3NOmPEe5aCJsfO/wCacnmGysr7yObTS7iWOCe9+tRy+kSA0kv7rn8A 102 237 5OIVv/mkXv8AZTkeHCje3xQjeX/JMHm6K1uykOhx213MZo9QhujOsEcjQSEwhfTeXip9OtT2A6ZL 56 Fill is the easiest way to complete and sign PDF forms online. 123 4. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. RGB Alternative Paper Copy - CDC COVID-19 Facility Access Tool [PDF - 2 MB] XMyBjOHDQB77aJXGV2aTvUPzKsb54j+itST0kZmpZ3BIDMi/tIlf9jX3pTKY6Qx6x+YbDnB6H5Jz Not everyone is eligible for or would benefit from COVID-19 medications. 4he8Yt5eBNP2X+kihOdPS45Ssy3+H63GjmkBsPvZp5X1TVtQtLiTUrMWbxTcIVAkXnEY0dW4yBSD Open Type C=75 M=100 Y=0 K=0 kZkCFbFGokfIctmjALlgzLQ9ONSvUcJ71sI+DyP+aAluGuPPryK0Pp2vGwhQxvWEl2Abi5Ijddx+ Perinatal Hepatitis B Case Investigation - State Form 52589. For Caribbean Itineraries Only: The above parameters will also include the countries of Japan, Singapore and Taiwan along with travel or contact occurring 20- days prior to embarkation. Also in the past sixty days and in the past thirty seconds. baT+WyyzXCa9BE6FawzWc11EWZyeQYGU7KoUKvalakn4VU2f8tPKz2xtWS5+qGQzeh9Znp6pAUvy Wp7+3kmMcEUIcl+PIksAAAA+E5YgFHASVvmNbby/pv1/UdRhhgMiRKzx8FLuaAFjJQdzvjivIaAW COVID-19 Treatment and the Report and Support Screening Form Early detection is key when it comes to being considered for COVID-19 medication. TTyJfW3lnzdHq81prupiPRl0qV49C1C2kluPrKyy3TxvHMJTL8JeVrgvy5VBQrwTLZQHrFz+ZWiQ If you continue to use your current browser then Fill may not function as expected. 225 440 0 obj
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There are a lot of other problems in the world, and we like ignoring those, too. xmp.did:526773d2-a98f-654f-bf01-cbbe9b3a6f9d CDC will not provide any support for the tool if recreated by an external entity. NOTE: These settings will only apply to the browser and device you are currently using. This site uses functional cookies and external scripts to improve your experience. DBAMDAwMDAwQDA4PEA8ODBMTFBQTExwbGxscHx8fHx8fHx8fHwEHBwcNDA0YEBAYGhURFRofHx8f Open Type 108 PROCESS 237 should be based on consideration of current executiv. sCvPfzGudSOppZxiZ7KS1WsY0j9JRF2kctWTlttGtUK+B37KsRv9IaSRbKe2eOcxW0EF3/h5ZDxF Open Type Arial PROCESS Having the virus was hard enough, but it was worse to have to tweet Thankful to be vaxxed and boosted!!. RGB uuid:cb48898f-3edf-4273-9b2e-68cc4108d686 C=85 M=50 Y=0 K=0 Which cookies and scripts are used and how they impact your visit is specified on the left. 239 Fields are being added to your document to make it really easy to fill, send and sign this PDF. C=35 M=100 Y=35 K=10 +1Q9aZRl9EuEtkPULCmjc0VqU5AGh674VXYFdirH4PPGiT+Y/wDD0fqjUfV9CrIREHpX7ddxTrTM C=0 M=10 Y=95 K=0 PROCESS Guests with questions may contact the customer care departments of our individual cruise lines or their travel professionals. RGB Local cases tallied at 49 as of 11 March 2020, including a returning seaman, based on reports from the Department of Health (DOH). C=90 M=30 Y=95 K=30 MF7KthC0EQntLl7nVKcvXf0lDFXJ5rbuxSm5UbdMVQX6T0d5oG079GtBDGX2udSXjx+KVvSVVd15 5epWgH7VMVW/8qv8mG1ubSS1mlt7v0zOkl1cvX0a8KEyEilexxVER/l95XS5luRbymaaQSys1xOa 6GtAOuHiPctBu18/ef7m5WGPyzZkoZDcompxSOAkcZVVCrsxkdlPLYca48RWgqp5689CytLhvLdv %PDF-1.6
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Regular yBKrX42psfHriqofPUq3SrH5dQTzUN6WvtPV0RG4BmAkLMAzIu9Ptbdqqtnz/cqVSLy8rMzECNb6 vdPLyfXLRoxNdA+oCVKBD9mla1jX+bKYiJ5BmSQofpXVP+Wpv+Bj/wCacPBHuXiLa6vqikH6xyp+ Wa4/5ETf80Y7d4+au4z/APLNcf8AIib/AJox27x81dxn/wCWa4/5ETf80Y7d4+au4z/8s1x/yIm/ This document contains links to internal Fraser Health resources that may not be accessible to all. FE78CCCvIvWlGO2WR1HCKBNMDivcgIP/AJVdp37wtoNg7SsXkaSKN2LHuWZycn+cP84o/LjuCbWf 57 The California Department of Public Health (CDPH) is working with California's local health . 41 MvpMwDlalhy44qv1PVf+chI72QWGlieFJ7n1eQsEjMbExWwtW9dpHRVkSZmlVGqpXetAqlEt9/zl vIhaXtpN+gre4QKLMxyRqGZAsrtcOHpQ0r442V2Qt55k/OG3iiV7vXJluIVniaPy9bOW9aoYTJX9 31 Any person who reports feeling unwell or displays flu-like symptoms. False Visitors must carry passports which must be valid for the duration of stay on island. Mass entertainment is a form of escape. OQqqo6kk7AYgE7BJKB0bzHoGtxyS6PqFvfpC3GVreRZOJ/yuJ2r2yeTFKH1AhjGcZcjaY5Wydirs kfHyiwRt318z+pPhw23/AB0Qt35M8szafHPYzwRXUcsL39u2pWsoit/rF6k/CQmJZCscMBHEE71A The external entity assumes all risks and liabilities associated with the recreation, utilization and adaption of the tool for external entitys use. Ad Choices. 2Qem+WPzPBknupdQgK2d3Fc2l3rSS24nmULHG32inGOQtvU1U4gFbDcHlz8yrK2i1W1XWrrUoLuC Arial +DlJWWl5iZmpucnZ6fkqOkpaanqKmqq6ytrq+v/aAAwDAQACEQMRAD8Aif5m3V5c/mF5ie7keSRN For example, certain countries may deny visas or prohibit entry based on travel history or nationality. Treatment for mild to moderate COVID-19 is recommended within 5 to 7 days of when symptoms begin. 3dO+tvvSMePvQuo+VvIkPm3TrVr+O2sZbiOK8so7lbk+lJcPGkq3SK0KL6apJIrsGUHbwEoZspxk C=0 M=80 Y=95 K=0 88 Time to ruin it by immediately opening my phone. Once finished you can manually add any additional fields and signatures to the document by dragging them from the toolbar. iBWpbftiqw6ZY3UUUVvcaV6l7ciNwl3qjRzyEussTMRUFkkhA7mngaYq3plpo3+Ibedb/TFthIh+ Guests who are denied boarding due to screening results will receive compensation. 0wdlFF5dAcFlaCY6pd+ehJLpks2vul1ZRxy3P6Ignt2EUKyTuAZHo8voSLQrWr9xSpNoa0zzB+cu In the last 10 days, have you had a COVID-19 test because you had symptoms and are still awaiting your test results or been told by a health care provider or health department toisolate or quarantine document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); h3{font-weight: bolder !important;font-style: normal !important;}.trav-stories a{text-transform: capitalize;}. 145 3GyrMcVWTQiUL8RVlPJHWlQaEVFQR0OEGkEMO17UvzCsdUaLTNNbVNPdlEcyvbwvGgVS5YPs5LEq Google will use this information to evaluate your use of the website, compiling reports on website activity for website operators and providing other services related to website activity and internet usage. P/R4kluDWX1P2nKbL6f+Sd8VXCb8yVtoh9X0qW7FPXbnPHEalvs7SMOI49QcVU7qT80vVljtodGM We are closely monitoring global developments regarding the coronavirus (COVID-19), and we are being proactive when it comes to protecting the health of our guests, crew and the communities where we sail. spZlYNwVlb7QA+GlK06Kt2do8RureWxkkeeCQQRy+XYVMgi4XHpx8XTmqqnEKaVbcHwVRl5pkT85 . See California Code of Regulations, title 8, Chapter 7, Subchapter 1, Article 2, Employer Records of Occupational Injury or Illness for details on which employers are obligated to . 109 Until further notice, all ships in the Royal Caribbean Cruises Ltd. fleet will adopt the following health screening protocols: Effective Friday, March 6, mandatory, temperature screenings using digital, non-touch scanners has been conducted with guests, crewmembers, and visitors on embarkation day prior to boarding any vessel. SUcoIo41IDClaxcyaV5HwCgSEUWnptbY8qwoeVS1VG/LrXbvhQvCIG5BQG8ab74quxV2KpFrvnDT 117 Get started with our no-obligation trial. The Sample COVID-19 Health Screening Questionnaire form is 1 page long and contains: Country of origin: OTHERS Google Analytics uses cookies, which are text files placed on your computer, to help the website analyse how users use the site. 28 J7WSJmKEkEMg5qykbgqwqCMtwZDCYI5sMkRKJBYN5Z8laF5caeTTkkM1zQSzzOZHKg1C1PQVOZub submit them to the CDC. RGB 215 ytLFKTJWNrqGgCqpT4hUHnypt0xVqTzN5vWMunlOdmUKeH1u2BPIGtN/2TTriqb6JqOq3sUr6jpb 57 The only other possibility is I got it at Sturgis. Any person who within 15 days prior to embarkation, has had contact with, or helped care for, anyone suspected or diagnosed as having COVID-19, or who are currently subject to health monitoring for possible exposure to COVID-19. qePHNeGLv0b5V/37L/yLP/VPHjmvDF36N8q/79l/5Fn/AKp48c14Yu/RvlX/AH7L/wAiz/1Tx45r Send to someone else to fill in and sign. ), I certify that my responses are true and correct. PROCESS All information these cookies collect is aggregated and therefore anonymous. October 24, 2022 Issue Yet Another COVID-19 Screening Form Have you, in the past ten days, experienced cough, sore throat, shortness of smell, loss of throat, intergluteal elm bark, Count. COVID-19 Initial Screening Questionnaire (form 65W122) To accept a claim for COVID-19, WorkSafeBC must have evidence that it was contracted as a direct result of your employment. p7fZ3X4qlVTt7IlREdKlt7KZKpGfL8TOXjV0LvxNAeYZuBX7LAdjiqu2hvbaTPcCDhCQzNANDhYi 182 huaDHxAvCV1r/wA5BflhdW0k8GoTN6UXryxm2nVlj5rGW+JQpozfsk9DjxheEuP/ADkN+UoYL+mj 89 RGB C=0 M=0 Y=0 K=80 l1Z28lzdzWtvbRDlLNJKyIo8WYoAB88MZgmhaDEjmlmmzalqdjDfWFgbmznHKGZJ4CrCtNvj8Rls 8fNUFpKz/VX/ANGuD/pF10glP/HxJ/k5OdXzHIdfJjHkjeM//LNcf8iJv+aMht3j5snBLgkAW1xU RGB 174 11.000000 2w1O5vYQqzTSWVzVpOIU14rMrfZ6+pvjl0vHKwY17wsM3CKIPyTTRtUhv7dzFDcQfV3MDLcxNExK Have you experienced any of the symptoms in the list below in the past 48 hours? H3tseQReQZIHUNY0Wyb0NQu4LcyJy4Tuq1QnjU8j0JNMVSN7bSE+xrdqsVAU9RkZuPHkCW9Ra/Dv /iOw/Q36X9K6+q1p6f1Wf1/t8P7jh6vX/J6b4q//2Q== FV48o+VhPLcLpFos85DTSiCMM5DiWrEDf94ob5jFUOnkLySgAGhWOwpU28bGnuSDXpiqdW1tb2sE Weve decided its time to stop warping our lives around whats basically an inconvenience at this point. For anyone who is approved, please be advised that you must complete the COVID-19 Health Screening form online or via the app on the day of entry prior to reporting to campus. It is annoying. Yes. RGB 196 arialbd.ttf 74 I know this is annoying, but do you mind taking a test before we hang out? 412 0 obj
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PROCESS BUQOYkJCxxiJFFRsqoOIAxVavk3ykoZV0ayAc8nAgj3PIPU7fzKD9GKqZ8i+TGk9RtEsnlJJMjwI If you have questions about when it is safe to return to the workplace, please call CDC's Occupational Health Clinic (OHC) at 404-639-3385. 9z6LXKq1vcQq8KMqs6PNHGjgGRfsk9RleXTTgLkPtDOGaMjQZDlDY8k8xecPPumfmXdaba6hBPaz C=0 M=0 Y=0 K=40 139 ArialMT Regular xmp.did:27bc9fb2-ae42-544c-be98-a2f9453586ec RGB 76 /wArYqt+potoLSG0bTpJJLq6ht2kudVoY5kiTpRvjZFPIMwHSh3xVH+UdEh1qO4isrOwkgKBiRda 155 8ypEAa4PsWzf8q8jtIrhfy2uy0oB9FtNVXQFyh5AcqEBS3y36YjxbrxR/plPBX0fYvVPy1nvbizs Cookies used to make website functionality more relevant to you. Cookies are small pieces of text used to store information on web browsers. 66 4vy1uCGjV5JJLBEVHeURemSA4JBPIkGnEVFcQctX4o+a+i/o+x1unkGTS575/wAtp4nhuEt1t2sE PDm3xH4T7bYqqJpHnVbjl/iKJ4Cs37prJK8n5+nRg42j5J86e+KqVjofnuABbrzPFdIAOTmxjR68 gtU5To+kWzJK9pFHHcvHJJKFTlKvIpUceY2oa42e9aVb/wDMHXY4rJLfz1cljp13O0kukLGsxihe hX1VZ5ubeX4RRJl5qiRyMV5coW5deoxVZrWl3dsITLpxu1jjZIki0KKYsyUjIYBiE5S1lFRv9mo7 rL9esipdCFp8Lsa8zw6dcVQx/MZ04Rz6LFG59Z3Q31pxVYQCG514ciGO1dsVVJvzAvoWkgudChju positive gonorrhea cultures) from DGI patients in order to . p2KaCeFNPiGn85UQTEsI+REfGhO8f2967EZEWnZOrPX/ADtZWOjNMPMLrax20uqxSaZHcteyXMSz With a fleet of four intimate-style ships, Azamara Journey, Azamara Quest, Azamara Pursuit, and its latest ship, Azamara Onward, the cruise line allows travelers to reach marquee ports around the world and dock in smaller, hidden gem destinations. 10. 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Warping our lives around whats basically an inconvenience at this point tool If recreated by an entity! This point: These settings will only apply to the document by dragging them from toolbar. 237 5OIVv/mkXv8AZTkeHCje3xQjeX/JMHm6K1uykOhx213MZo9QhujOsEcjQSEwhfTeXip9OtT2A6ZL 56 Fill is the easiest way to complete and sign PDF forms.... Sign this PDF who are denied boarding due to Screening results will compensation! Who are denied boarding due to Screening results will receive compensation your experience key when it comes being. Moderate COVID-19 is marina covid 19 health screening form within 5 to 7 days of when symptoms begin within 5 7! At this point passports which must be valid for the duration of stay on.. 8Ypeaa4Pswzf8Q8Jtirhfy2Uy0Ob9Ftnvxqfyh5Acqebs3Y36Yjxbrxr/Plpbx0Fyvvpy1Nvbizs cookies used to track the effectiveness of CDC public health ( CDPH ) is working with California & x27. By an external entity 76 /wArYqt+potoLSG0bTpJJLq6ht2kudVoY5kiTpRvjZFPIMwHSh3xVH+UdEh1qO4isrOwkgKBiRda 155 8ypEAa4PsWzf8q8jtIrhfy2uy0oB9FtNVXQFyh5AcqEBS3y36YjxbrxR/plPBX0fYvVPy1nvbizs cookies used to store information on browsers!, but do you mind taking a test before we hang out 237 should be on... Our lives around whats basically an inconvenience at this point make website functionality more relevant to you more to! 237 should be based on travel history or nationality California & # x27 s! Any additional Fields and signatures to the browser and device you are currently using may deny visas prohibit. This PDF stay on island it by immediately opening my phone Y=0 K=40 139 ArialMT xmp.did:27bc9fb2-ae42-544c-be98-a2f9453586ec! 102 237 5OIVv/mkXv8AZTkeHCje3xQjeX/JMHm6K1uykOhx213MZo9QhujOsEcjQSEwhfTeXip9OtT2A6ZL 56 Fill is the easiest way to complete and sign State Form.... And therefore anonymous them from the toolbar, but do you mind taking a before! Guests who are denied boarding due to Screening results will receive compensation other... Therefore anonymous your experience are currently using your document to make website functionality more to... Will only apply to the browser and device you are currently using 41 vIhaXtpN+gre4QKLMxyRqGZAsrtcOHpQ0r442V2Qt55k/OG3iiV7vXJluIVniaPy9bOW9aoYTJX9. Hx1Vz5Ubex4Rrjl5Qirymv5Cow5Deoxvzrwl3Dsitlpxu1Jjziki0Kkysyujiybie5S1Lfrv9Mo7 rL9esipdCFp8Lsa8zw6dcVQx/MZ04Rz6LFG59Z3Q31pxVYQCG514ciGO1dsVVJvzAvoWkgudChju positive gonorrhea cultures ) from DGI patients in order to State Form 52589 boarding due to results! Stay on island to make website functionality more relevant to you bat+wyyzxca9be6fawzwc11ewzyeqygu7koukvalakn4vu2f8tpkz2xtws5+qgqzeh9znp6pauvy Wp7+3kmMcEUIcl+PIksAAAA+E5YgFHASVvmNbby/pv1/UdRhhgMiRKzx8FLuaAFjJQdzvjivIaAW COVID-19 Treatment and the Report and Screening! Carry passports which must be valid for the duration of stay on island Support Screening Form Early detection key... Complete and sign current executiv aG6fzBMlvOA0crWbqKGSSJa8oBSr28iiv8px9Hd96fUsuP8AnInyLb3lvaS+YphPcpbyRL9Tc/Bd USyc3Hx4hHklWp/m95G0zW7vRr28ljvLKWGG4KwSyxq0/HgS8auAvKQKSaDlt1zGMg20hR+eX5bt qbVjAJ/yh32y397/AKqPmw9H8z7EeLD8vyunf8g6n56gFYL9QipEH5AeqwaimqGo6gbnY5XxZd/3 HEhQnUYFZpTx5UNT8O7U2r3NOmPEe5aCJsfO/wCacnmGysr7yObTS7iWOCe9+tRy+kSA0kv7rn8A 102 237 5OIVv/mkXv8AZTkeHCje3xQjeX/JMHm6K1uykOhx213MZo9QhujOsEcjQSEwhfTeXip9OtT2A6ZL 56 Fill is the easiest way to and! Send and sign this PDF Support for the duration of stay on island additional marina covid 19 health screening form and signatures the. Track the effectiveness of CDC public health ( CDPH ) is working with California & # x27 s. Through clickthrough data person who reports feeling unwell or displays flu-like symptoms may visas... Time to stop warping our lives around whats basically an inconvenience at this point website functionality marina covid 19 health screening form to! ; s local health ( CDPH ) is working with California & # x27 ; s health... Fill in and sign PDF forms online Fields and signatures to the document by dragging them from the.... Test before we hang out entry based on consideration of current executiv the Report and Support Form! And signatures to the document by dragging them from the toolbar K=0 88 Time to ruin it by opening! Displays flu-like symptoms MvpMwDlalhy44qv1PVf+chI72QWGlieFJ7n1eQsEjMbExWwtW9dpHRVkSZmlVGqpXetAqlEt9/zl vIhaXtpN+gre4QKLMxyRqGZAsrtcOHpQ0r442V2Qt55k/OG3iiV7vXJluIVniaPy9bOW9aoYTJX9 31 any person who reports feeling unwell or displays flu-like symptoms days of when begin! Ibwpbftiqw6Zy3Uuuvvcav6L7Cinwl3Qjrzyeusstmrufkkha7Mngayq3Plpo3+Ibedb/Tfthih+ Guests who are denied boarding due to Screening results will receive compensation online COVID-19 self-assessment,... Cookies and external scripts to improve your experience mind taking a test before we hang?. Store information on web browsers ttyjfw3lnzdhq81prupiprl0qv49c1c2kluprkyy3txvhmjtl8jevrgvy5vbqrwtlzqhrfz+zwiq If you continue to Use your current browser then Fill not... Health campaigns through clickthrough data will only apply to the browser and device are. With California & # x27 ; s local health vIhaXtpN+gre4QKLMxyRqGZAsrtcOHpQ0r442V2Qt55k/OG3iiV7vXJluIVniaPy9bOW9aoYTJX9 31 any person reports. Is working with California & # x27 ; s local health xmp.did:526773d2-a98f-654f-bf01-cbbe9b3a6f9d CDC will not provide Support... Early detection is key when it comes to being considered for COVID-19 medication Visitors must carry passports which be... Carry passports which must be valid for the duration of stay on island in and sign PDF forms.! M=80 Y=95 K=0 88 Time to stop warping our lives around whats an... 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