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Free Coronavirus Self Declaration Form Template


The COVID 19 Declaration form is a document that allow individuals declare their health status in relation to COVID 19. With this form, health care providers and businesses can gather relevant information such as the name, health history and so on. This form can be edited to suit your desired feedback. Use this medical disclosure form as a standalone form or by embedding it on your website.


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Tips for Using the Coronavirus Self-Declaration Template

Allow students, employees, and passengers to declare their medical status in relation to COVID-19. You can choose to modify these form fields to suit your specific needs with the easy drag and drop editor. Next, share this form by sending out an email invitation, a QR code, or embedding it directly on your website for easy access. You can also set up email reminders for people who haven’t declared their status within a specific period. 

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