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PROD - COVID-19 Positive Rapid Antigen Test Self-Reporting Form
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Thank you - COVID-19 Positive Rapid Antigen Test Self-Reporting Form
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COVID-19 Digital Exposure Site Identification Proforma
COVID-19 Digital Exposure Site Identification Proforma
Step 1 - General
STEP 2 - Movements
STEP 3 - Address
STEP 4 - Other
DH/LPHU Staff Email
*
*
Case Record Number
*
*
*
Must be 8 characters, numerical and begin with a 3
Site Name
*
*
Naming standard: COVID-19 YYYYMM Location Name Site Type (YYYY=Year e.g. 2021 MM=Month e.g. 09)
Tier
Tier 1A
Tier 1B
Tier 1C
Tier 2
Tier 3
acquisition site
