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EMERGENCY SCREENING REGISTRATION FORM

EMERGENCY SCREENING REGISTRATION FORM

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  1. Obtain emergency screening registration form and click on Get Form to begin.
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Video instructions and help with filling out and completing EMERGENCY SCREENING REGISTRATION FORM

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Instructions and help about EMERGENCY SCREENING REGISTRATION FORM

Hi there. What brings you in today? Blood work. Alright we just have a few screening questions for you. Have you been tested for COVID? No Have you been around anybody who has COVID? No Do you have a sore throat or a cough? No Do you have a loss of taste or smell? No Any shortness of breath, chills, headache or muscle pain? No Alright I'm just going to check your temperature here. Perfect. And we're going to come around this way and we'll get you set for registration. Good morning. How can I help you? I'm here for testing. Okay, do you have your doctor's order? Yes Alright, perfect. You can go to desk number 4 and Sam will help you. Thank you. Good morning. So here is where you'll find a clear screen so you're protected while you're here in outpatient. And here we'll verify your name, date of birth, go over you doctor's order with you, and get you to the proper department.

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