HFCRD COVID-19 Alberta Health Daily Checklist (Adults)
This tool was developed to support Albertans in protecting others and reducing the risk of transmission of COVID-19.

Adults 18 years and older can complete this checklist every day to self-monitor for symptoms of COVID-19.
If you have traveled outside Canada in the last 14 days, follow the Government of Canada Travel, Testing,
Quarantine and Borders instructions, including any requirements for exempt travelers related to attending high-risk environments. International travellers who become a case after arrival in Alberta should follow isolation requirements outlined by Government of Canada.

If you have received a message from Public Health indicating that you are a case1 of COVID-19 or if you have tested positive on a rapid test, you are required to isolate as per current Public Health instructions. For more information on isolation requirements after a positive rapid test, refer to the Rapid Testing at Home website.

Link to Alberta Government checklist: https://open.alberta.ca/publications/covid-19-information-alberta-health-daily-checklist

Last update: January 11, 2021
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Name (first & last name): *
Phone Number (not required for staff):
Email Address (not required for staff):
Which HFCRD site are you about to enter? *
Have you been a household contact of a case1 of COVID-19 in the last 14 days?   A household contact: a person who lives in the same residence as the case OR who hasbeen in frequent, long-duration, close-range interaction with a case of COVID-19. For example, someone who is a caregiver or an intimate or sexual partner of a COVID-19 case. *
Please use a checkmark if you have any of the following symptoms. If you do not have the symptom, leave it blank.
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