COVID-19 SELF SCREENING

COVID-19 Self-Screening

We request that all employees, contractors, volunteers and visitors who attend our sites or clients complete the below self-screening in relation to their travel and possible exposure to the COVID-19 virus. This will ensure the safety and wellbeing of our staff, residents and clients.

SELF-SCREENING QUESTIONS

Are you currently required to be in quarantine because you have been diagnosed with coronavirus (COVID-19)?

YES / NO

Have you been in close contact with someone with coronavirus (COVID-19) or have traveled to one of the high risk areas or you have been to one of the declared COVID exposure sites?

YES / NO

If you answered YES to either of the above questions you should not attend work until advised by the Department of Health and Human Services that you are released from quarantine or until your 14-day quarantine period is complete.

If you answered NO to the above questions, proceed to the symptom checklist below.

Are you experiencing any of these symptoms?

Fever ( Take your own temperature. You are considered to have a fever if above 37.5C )	YES / NO
Cough	YES / NO
Chills	YES / NO
Sore throat	YES / NO
Shortness of breath	YES / NO
Runny nose	YES / NO
Loss of sense or smell	YES / NO

If you answered YES to any of the above questions you should not enter your workplace (or you should leave your workplace, if already there). Tell your employer, go home, and get tested for coronavirus (COVID-19). If you answered NO to all the above questions, you can enter your workplace.

If you develop symptoms, stay at home and seek further advice from the 24-hour coronavirus hotline 1800 675 398 or your general practitioner.

Please observe good personal hygiene including but not limited to washing hands or using hand sanitiser immediately upon entering the site; please notify management at the site if you develop any of the symptoms of COVID-19 which include fever, sore throat, fatigue or respiratory symptoms such as cough, shortness of breath or breathing difficulties.

**IF YOU ANSWERED 'YES' TO ANY OF THE QUESTIONS ABOVE, PLEASE DO NOT ATTEND THE FACILITY / CLIENT AND CONTACT YOUR MANAGER IMMEDIATELY. **

Aged Care Physiotherapy

PO BOX 504 Heidelberg VIC 3084 | email: contact@acphysio.com.au | www.acphysio.com.au | ABN 93 163 834 455