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COVID-19 Safe Entry Survey
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Full Name:

Full Name

NRIC / FIN:

NRIC / FIN

Mobile Number:

Mobile Number

Please SHOW this to your therapist.

i. Have you been an inpatient at TTSH for any period of time from 18 April 2021?

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ii. Have you visited TTSH inpatient wards from 18 April 2021?

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iii. Do you currently have fever, flu-like symptoms (e.g. runny nose, cough, shortness of breath), loss of smell, etc?

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iv. Have you visited TTSH ED on 18 or 19 April 2021?

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