Statement of Good Health Attestation
I attest to NCH Healthcare System that I am symptom free of Covid-19 or similar disease and am in good health. I understand and agree that I have a duty to NCH Healthcare System and the patients we serve to immediately notify my Leader and Occupational Health if I have any Covid-19 (or similar) symptoms or otherwise do not feel well. I also agree not to report to work if I have such symptoms or do not feel well. Per CDC guidelines, people with COVID-19 have a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. Symptoms include but are not limited to: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, and or diarrhea.
Please verify that you are human
Should be Empty: