Select from the dropdown below
Please list ALL clients who came in direct contact (within 6ft for a total of 15min in 24 hours) from the period 48 hours before symptom onset to the time at which the employee was isolated.
(if more than one client was exposed)
If more than 3 clients, please include the additional name(s) & exposure date(s) above in Additional Client Exposed box.
Please submit the Client Response Form for each client listed above who has been exposed to a COVID-19 positive employee.