Community COVID-19 Screening Application

Patient and Visitor COVID-19 Screening Application

The Patient and Visitor COVID-19 Screening Application with be turned off on June 8, 2023.

The following screening questions are meant to identify visitors and patients at risk for having COVID-19 infection before, or immediately upon arrival to a Baptist Health facility.

This screening tool should not be used by Baptist Health employees reporting to work.

No data is being stored by Baptist Health.

Have you experienced any of the following symptoms in the past 48 hours?

fever or chills
cough
shortness of breath or difficulty breathing
fatigue
muscle or body aches
headache
new loss of taste or smell
sore throat
congestion or runny nose
nausea or vomiting
diarrhea

Yes No

Within the past 10 days, have you tested positive for COVID-19, been suspected of having COVID-19, or have a pending test for COVID-19?

Yes No

Within the past 10 days, have you had close contact with someone with confirmed COVID-19?

Yes No

I hereby attest that the information is accurate, true and complete.