NOVEL CORONAVIRUS DISEASE (COVID-19) SCREENING QUESTIONNAIRE
 
 
Have you traveled internationally in the last 14 days?
 
Have you been in close contact with another person who has been diagnosed with/under investigation for COVID-19?


Do you have a cough, fever or shortness of breath?

Contact your primary physician or public health department as soon as possible to determine if you should be seen or tested. 


Visit https://www.naccho.org/membership/lhd-directory for information on how to contact your local health department and  https://www.cste.org/page/EpiOnCall for information on how to contact your state health department.