1 Start 2 Complete

MEDISCA AUSTRALIA | Analgesic Compounding Laboratory Training

Please complete this form to sign-in each day.

*
*
*

COVID-19 Self-Assessment Questionnaire

COVID-19 Common Symptoms: Fever or chills, cough, shortness of breath or difficulty breathing.

Other Symptoms: Fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea.

If you are experiencing these common symptoms, seek medical care early and stay at home. If you are a facilitator or a program attendee, please inform any MEDISCA Australia staff. You should monitor your temperature regularly to measure your current health status.

If you have answered 'Yes' to any of these questions, please call your health care provider or public health hotline to discuss symptoms. You cannot attend the live program in the facility. Please contact MEDISCA to discuss your situation.
*
If you have answered 'Yes' to any of these questions, please call your health care provider or public health hotline to discuss symptoms. You cannot attend the live program in the facility. Please contact MEDISCA to discuss your situation.
*
If you have answered 'Yes' to any of these questions, please call your health care provider or public health hotline to discuss symptoms. You cannot attend the live program in the facility. Please contact MEDISCA to discuss your situation.
*
*
*
Authorised Signature
Please review the information above and click the "SUBMIT" button below. Thank you for remaining accountable and continuing your commitment to the health and safety of one another.
*
*
*
: