Confirmed COVID-19, Positive Employees that Tested Positive Outside Employee Health

This is for employees only If you took a home test, went to the Emergency Center, Convenient Care, or other facility and now have a confirmed Positive COVID test, please complete this form. This is not for patients nor employees that tested in Employee Health, or who do not have a confirmed positive test.

Employees that test positive, the result is DETECTED.

Detected
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As a result of the Symptom Tracker, did you receive a red flag?*
Experiencing Signs or Symptoms?*

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Have you received the COVID 19 Vaccine?*

In the last 14 days, have you been in contact with someone in the community or have a close friend, family member, or member of your household who tested positive for COVID-19?*
In the last 14 days, have you attended any events where large groups of people (50+) were gathered (i.e. social event, restaurants, bars, church, funeral, concert or amusement park)?*
To your knowledge, in the last 14 days, have you had contact with a patient or co-worker who tested positive for COVID-19?*
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When you encountered the patient/co-worker, was the patient/co-worker wearing a face mask?*
Do You Work In A Patient Care Area?*
Do You Work With Immunocompromised Patients?*
Do you have a secondary position at Phoebe or with an external organization?*
Do you have a child attending the Phoebe Family Tree or other Phoebe-sponsored childcare programs?*
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