COVID-19 HEALTH
DECLARATION FORM
In line with the Republic Act 11332 Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act,
and to assure the safety and protection of the general public, please fill out this HEALTH DECLARATION FORM truthfully. This required information will be used in accordance with law. Any incorrect information will be dealth with accordingly. Submit yourself for temparature checking and recording, and proceed to completing the information. Thank you.
Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act,and to assure the safety and protection of the general public, please fill out this HEALTH DECLARATION FORM truthfully. This required information will be used in accordance with law. Any incorrect information will be dealth with accordingly. Submit yourself for temparature checking and recording, and proceed to completing the information. Thank you.
COVID-19 HEALTH
DECLARATION FORM
In line with the Republic Act 11332 Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act,
and to assure the safety and protection of the general public, please fill out this HEALTH DECLARATION FORM truthfully. This required information will be used in accordance with law. Any incorrect information will be dealth with accordingly. Submit yourself for temparature checking and recording, and proceed to completing the information. Thank you.
Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act,and to assure the safety and protection of the general public, please fill out this HEALTH DECLARATION FORM truthfully. This required information will be used in accordance with law. Any incorrect information will be dealth with accordingly. Submit yourself for temparature checking and recording, and proceed to completing the information. Thank you.
COVID-19 HEALTH
DECLARATION FORM
In line with the Republic Act 11332 Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act,
and to assure the safety and protection of the general public, please fill out this HEALTH DECLARATION FORM truthfully. This required information will be used in accordance with law. Any incorrect information will be dealth with accordingly. Submit yourself for temparature checking and recording, and proceed to completing the information. Thank you.
Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act,and to assure the safety and protection of the general public, please fill out this HEALTH DECLARATION FORM truthfully. This required information will be used in accordance with law. Any incorrect information will be dealth with accordingly. Submit yourself for temparature checking and recording, and proceed to completing the information. Thank you.