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Covid-19 Health Declaration
How are you feeling today?
First Name
Last Name
Email
I have not had a fever in the last week or experienced any symptoms of Covid19 in the last week.
I am currently not experiencing any symptoms of Covid19: fever, cough, sore throat etc
I haven’t been in close contact with a Covid-19 patient in the last 14 days
I have not travelled interstate or overseas in the last 10 days
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Date
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