Form was filled-up and downloaded 1,116 times already

Fillable Form Contact Tracing

The Contact Tracing form will help track down people who are in danger of being exposed to the virus.

  • FILL ONLINE
  • EMAIL
  • SHARE
  • ANNOTATE

What is a Contact Tracing form?

With millions of cases worldwide, health departments implemented solutions to combat COVID-19. One of these is the Contact Tracing. The instrument used in Contact Tracing is called the Contact Tracing form. It is a form that helps track down people who are in danger of being exposed to the virus.

The rapid growth of Coronavirus disease or COVID-19 is a major setback of the world. It has an immense impact on the economy, causing a global economic crisis, where some nations are in recession and depression.

What is Contact Tracing?

As the World Health Organization (WHO) declared COVID-19 as a Global Public Health Emergency of International Concern (PHEIC), different countries imposed contact tracing to prevent and mitigate transmission.

Contact Tracing is the identifying, listing, and following up of individuals who may have close contact with a confirmed, probable, and suspected COVID-19 case. It is a protocol that helps track down people who are possible carriers of the disease.

When is Contact Tracing conducted?

Contact Tracing shall be set after the investigation of a reported COVID-19 case. The case investigation entails identifying the location where the infected person has visited and the persons in that area.

Private or public establishments shall conduct Contact Tracing as a safety protocol required by the government. Before entering the establishment, individuals need to fill out a Contact Tracing form to know if they carry the disease or not. Through this, establishments can keep a record of who visited the premise and can conduct possible actions in case of COVID-19 detection.

What is a close contact?

A close contact refers to a person who may have acquired the virus through:

  1. Face-to-face contact with an infected person within 1 meter for more than 15 minutes;
  2. Direct physical contact with a confirmed or probably infected person;
  3. Direct care for a patient with a confirmed or probable case without proper safety precautionary measures; or
  4. Situations that generate higher risks of virus transmission.

What are the affecting cases of close contact?

  1. Confirmed COVID-19 case. It refers to any individuals who tested positive for COVID-19 through a certified laboratory confirmation.
  2. Probable COVID-19 case. The Probable COVID-19 cases fall under three conditions. It refers to any individuals whose testing is inclusive, those who tested positive for COVID-19 in an unauthorized testing center, and those who died without confirmatory testing.
  3. Suspect COVID-19 case. Any individual who has the following conditions fall under the Suspect COVID-19 case.

a. The Severe Acute Respiratory Infections (SARI) case has no other etiology that elucidates the clinical presentation.

b. An Influenza-like Illness (ILI) case has no other etiology that elucidates the clinical presentation and has a travel history to an area with reported COVID-19 transmission. Also, an individual has close contact with a confirmed or probable case.

c. Individuals with morbidity, assessed as having a high-risk pregnancy, aged 60 years and above, or a health worker showing respiratory signs fall under suspect COVID-19 cases.

What is the purpose of a Contact Tracing form?

A Contact Tracing form helps track down people who are at risk of being exposed to the virus. This form includes demographic and geographic profiles, possible health conditions, and other questions regarding COVID-19.

While Contact Tracing aims to reduce the spread of infection and stop transmission from occurring, a Contact Tracing form supplements the goal of a successful contact tracing.

A Contact Tracing form helps notify close contacts of the possibility of infection and extends preventive care. Also, it helps health forces apprehend the epidemiology of a disease in a specific area.

Effectiveness of using a Contact Tracing Form

Using a Contact Tracing form helps track down areas where possible transmission may occur. It helps private or public establishments to keep a record of individuals who visited the premises. Hence, they can alert individuals who might be at risk if they track down a COVID-19 case.

Contact Tracing helps in controlling the transmission of infectious diseases. It works best when practiced together with other COVID-19 safety responses such as proper isolation or physical distancing.

How to fill out a Contact Tracing form?

This form requires necessary information; answer honestly.

Temperature

Enter your temperature at the time you are filling out the form.

Full Name

Enter your full name.

Address

Enter your complete address.

Have you had any close contact with a COVID-19 positive person?

Mark YES if you have had close contact with a COVID -19 positive person. Mark NO if not.

Have you been into a place where there is a COVID-19 positive person?

Mark YES if you have been into a place where there is a COVID-19 positive person. Mark NO if not.

I have these symptoms within last 3 days

Mark the appropriate box or boxes for the symptom or symptoms you had within the last three days: Fever, Cough, Colds, Sore Throat, Loss of Smell & Taste, and Body Pain. If you had none, mark None of the above.

Signature

Sign the form.

How do you protect your data on a Contact Tracing form?

Health departments who requested the form shall furnish a memorandum of agreement on data sharing to ensure their accountability in collecting your information and the assurance of proper usage of your data.

All information entered on the Contact Tracing form is for medical purposes only. It is prohibited to disclose sensitive or personal information for any other purposes other than data analysis.

Keywords: contact tracing form fillable contact tracing form editable contact tracing form contact tracing form pdf contact tracing form online contact tracing pdf fillable

Are you looking for another form or document?