Screening Form for Visitation at Congregate Settings for Vulnerable Adults and Children - Arizona

Screening Form for Visitation at Congregate Settings for Vulnerable Adults and Children is a legal document that was released by the Arizona Department of Health Services - a government authority operating within Arizona.

FAQ

Q: What is the purpose of the screening form?A: The purpose of the screening form is to assess the risk of COVID-19 transmission before allowing visitation at congregate settings for vulnerable adults and children in Arizona.

Q: Who needs to fill out the screening form?A: Both visitors and staff members of congregate settings for vulnerable adults and children in Arizona need to fill out the screening form.

Q: What information is required on the screening form?A: The screening form requires information such as personal details, symptoms or exposure to COVID-19, travel history, and current health status.

Q: Can I visit a congregate setting without filling out the screening form?A: No, filling out the screening form is mandatory for both visitors and staff members prior to visiting a congregate setting.

Q: How often do I need to fill out the screening form?A: You need to fill out the screening form every time you visit a congregate setting or as directed by the administration of the setting.

Q: What happens if I have symptoms or exposure to COVID-19?A: If you have symptoms or exposure to COVID-19, you may be denied entry to the congregate setting or asked to follow additional protocols.

Q: Is the screening form confidential?A: Yes, the screening form information is confidential and will be used solely for the purpose of assessing the risk of COVID-19 transmission.

Q: Do I need to keep a copy of the completed screening form?A: It is recommended that you keep a copy of the completed screening form for your records.

Q: Can I provide false information on the screening form?A: Providing false information on the screening form is strongly discouraged and can jeopardize the health and safety of others.