Daily Wellness Screening for Fraser Staff
Waivered Case Management
Client Services/Clinical Operations
Community Living employees have a new Wellness Screening. Copy the link below, open it in a new browser to complete the Community Living Wellness Screening and save it for future reference. Thank you
Collab - AWHS
Collab - Edina Public School
Collab - Elizabeth Hall
Collab - Ramsey
Collab - SPPS
Collab - Southwood
Fraser Coon Rapids
Fraser Eden Prairie
In client's home - indoors
In client's home - outdoors
In community - indoors
In community - outdoors
Current Temperature taken at home or upon arrival
Are you experiencing any new signs of illness such as fever, cough, shortness of breath, sore throat, loss of sense of taste or smell, congestion, runny nose, headache, muscle aches, fatigue and/or gastrointestinal problems of diarrhea, vomiting, or nausea in the last 10 days?
Please select all applicable symptoms:
Fever (100.0 F or greater)
Shortness of breath
Loss of taste or smell
When did your symptoms start?
When did you last work at a Fraser location?
Is anyone in your household experiencing any signs of illness such as fever, cough, shortness of breath, loss of sense of taste or smell, sore throat, runny nose, congestion, headache, muscle aches, fatigue and/or gastrointestinal problems of diarrhea, vomiting, or nausea in the last 14 days?
Have you had close contact with someone with a confirmed or presumptive diagnosis of COVID-19 in the last 14 days?
Have you or anyone in your household had COVID-19 testing done as a result of new illness in the last 14 days?
Fraser School Email
Pediatric Therapy Supervisor Email
Fraser Supervisor Email
I acknowledge that the information provided above is accurate to the best of my knowledge and submitting this form electronically acts as my signature.
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