Guided Living Travel Info Form

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Thank you for completing this form to help Guided Living comply with the Massachusetts Travel Order:
https://www.mass.gov/info-details/covid-19-travel-order

If you have any questions about the information you are being asked to provide, please call our office line any time at 508-927-1213.

Sincerely,
The Guided Living Team

EMAILING OR FAXING COVID RESULTS
If you are choosing compliance with the travel order by taking a COVID test up to 72 hours prior to traveling to MA, please either email or fax those results to Guided Living as soon as possible. Thank you.

Email - results@guidedlivingcare.com
Fax - 508-927-1213

Your Name *

Your Email

Your Phone *

Guided Living Client Name *

Location I am Traveling From (State/Country) *

Dates of Visit *

Travel Order Compliance Method *

COVID Test Result (Up to 72 hours prior to departure)

14 Day Self-Isolation Upon Arrival to MA

EMAILING OR FAXING COVID RESULTS

If you are choosing compliance with the travel order by taking a COVID test up to 72 hours prior to traveling to MA, please either email or fax those results to Guided Living as soon as possible. Thank you.

Email - results@guidedlivingcare.com
Fax - 508-927-1213

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