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Welcome
Thank you for working to keep the general public and your employees safe from COVID-19.
7
Questions
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HIPAA
Compliance
1
What is your business or organization name?
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2
Business Phone Number
Area Code
Phone Number
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3
COVID-19 Coordinator: Name
First Name
Last Name
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4
COVID-19 Coordinator: Business Email
example@example.com
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5
As a COVID-19 Coordinator, I will complete a Social Distancing Protocol for my organization. I will update this Protocol when necessary and post it where customers and employees can view it. I will make sure my organization is following our social distancing protocol to the best of our ability.
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NO
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6
As a COVID-19 Coordinator, I will post safety signage at (at least) each visitor and employee entrance.
YES
NO
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7
As a COVID-19 Coordinator, I will stay up-to-date on the latest guidance from the Health Department through the newsletter I am signing up for.
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NO
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