Workplace Medical Passport
Relationship to Durban Girls' College
Employee
Student
Contractor
Visitor
Enter your Full name
Key Symptoms
Loss of smell or taste
Yes
No
Nausea, vomiting or diarrhoea
Yes
No
Sinusitus
Yes
No
Body Aches, Fever or Chills
Yes
No
General Symptoms
Sore Throat
Yes
No
Cough
Yes
No
Shortness of Breath
Yes
No
Feeling of tiredness or weakness
Yes
No
Headache or sore eyes
Yes
No
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