Узнайте, какие меры мы принимаем для обеспечения безопасности пациентов и докторов в период карантина.
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Date of filling: 26.10.2021 18:43:58 (appears automatically)

Patient questionnaire (covid-19)

1. Have you and your child been in isolation or self-isolation for the last 14 days before visiting the clinic?

2. Were there any close contacts over the past 14 days with a person under the supervision due to COVID-19, who subsequently become ill?

3. Were there any close contacts over the past 14 days with a person who was diagnosed with a laboratory confirmed COVID-19?

4. Have you and your child visited a clinic or medical centre where patients are tested for COVID-19?

5. Have you and your child experienced one or more symptoms in the last 14 days?

6. Have you tested for COVID-19?

Result of the last testing



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