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COVID-19 Symptom Monitoring Log

To be completed for

  • All personnel and participants of out-of-home Adult Day Support (ADS), Vocational Habilitation (VH), Intermediate Care Facility (ICF) Day Programs, upon arrival, before proceeding to the general service area.
  • All personnel and participants of out-of-home ADS, VH, and ICF Day Programs before departing the general service area each day.