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27-29 Metro Parade, Mawson Lakes, SA, 5095

COVID Questionnaire

Updated as of 29/12/2021

COVID Screening Questionnaire

1. In the last 14 days have you 

    a) Had a fever (temperature >37.5 degrees C), night sweats or chills
    b) An acute respiratory infection (e.g. cough, shortness of breath or a sore throat) or
    c) Loss of smell or taste 

2. In the past 14 days have you

    a) Had close contact with a confirmed case of COVID-19?
    b) Returned from International travel (with the exception of green zone countries)?
    c) Worked in a designated COVID-19 quarantine or isolation service?
    d) Worked in a setting where there has been a COVID-19 case?
    e) Been in an area or place with recent local COVID-19 transmission?
    f) Worked as international Maritime or Air Crew?
    g) Worked in an Aged or Residential Care Setting with a potential COVID-19 contact?

If you have answered yes to any of the above, please DO NOT attend our clinic.  Please contact our clinic on 8260 1007 for further instructions. 

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