ID:

Affiliation:

This COVID-19 self assessment tool will indicate whether it is safe for you to be on campus today. After you answer the questions, you will receive a message either clearing you to come to campus or instructing you to remain off campus and explaining what next steps to take.

The information is confidential and is shared only with the Infection Control Officer, Infection Control Physician, Human Resources, and your manager, except when it is necessary to trace exposure to identified cases of COVID-19.

Are you currently in Isolation or Quarantine?

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Start Date:

End Date:

Will you be:

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Are you experiencing any new and unexpected symptoms?

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Are you experiencing any new and unexpected symptoms?

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Have you completed a COVID vaccine course?

Yes, more than 14 days ago
Yes, within the last 14 days
No, I have not completed a COVID vaccine treatment

Date of final vaccination?

Have you had close contact with someone diagnosed with or presumed to have COVID-19 within the last 10 days?

Have you traveled outside of the local area for more than 24 hours?

You can review the full Massachusetts travel orders at Mass.gov COVID-19 Travel Orders

Have you received a positive COVID test within the past 10 days?

Reason for COVID-19 test?

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Test Date:

Summary:

On Campus: {{ payload.onCampus }}
Symptoms: {{ payload.symptoms }}
Vaccinated: {{ payload.hasVacine }} {{ dateVacinated }}
Exposure: {{ payload.hasExposure }}
Traveled: {{ payload.hasTraveled }}
Test Result: {{ payload.hasTested }}
Reason Tested: {{ payload.reasonTested }}
Test Date: {{ payload.dateTested }}

Processing...

Good to go

Stay Healthy

See you at Riggs

Click here to order a test or check results at Labpass

COVID-19 Testing for Riggs Community

Click here for testing location, hours, and schedule

Site: Campus Testing Center
Days: Monday, Tuesday, Thursday, Friday
Hours: 8:00 am - 5:00 pm

For those in Group Testing
Get your schedule from Testing staff, x5555

For Individual Testing:

Last name begins with	Test on	between the hours of
{{ info.lastname }}	{{ info.onday }}	{{ info.hours }}

If your schedule doesn't conform to the above schedule please stop in anytime on M/Tu and Th/F

To assist with the process and move through the testing quickly, always order your test the morning of the test.

Fevers, chills, body aches, fatigue, headache and nausea are symptoms that are expected to follow vaccination.

If you are experiencing such symptoms, and you completed your vaccination in the prior 72 hours, you do not need to contact the Infection Control Physician.

STOP!

Do not come to Campus and self-isolate until cleared to come back to work.

Contact your manager.

Notify the Infection Control Physician (M-F, 8-5): 555-555-5555.

Evenings and weekends contact the Charge Nurse: 555-555-5555.

You are not cleared to come to Campus. Please call the COVID-19 hotline [555-555-5555]. Tell them your symptoms or situation and that you work at a medical facility that is a congregate care setting. This will identify your situation as having priority. They will probably schedule you for testing at the hospital. If you live elsewhere you should make contact with the comparable public health service there.