Request for Voluntary Quarantine

Form Template

Public health officials should use the Request for Voluntary Quarantine app for voluntary quarantine for isolation and quarantine of persons who may have been exposed to a contagious, communicable or infectious disease.

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Health care workers who are concerned that a person had direct contact with another person exhibiting symptoms of a contagious disease will ask exposed persons to adhere to a voluntary quarantine to minimize the risk of an outbreak or public health crisis. Examples of conditions that may lead to quarantine measures to avoid a public health emergency include pandemic influenza, a SARS outbreak, or Ebola. Public health officials can determine the length of voluntary quarantine based on the incubation period of the disease the individual was exposed to, and taking into consideration local public health laws. This request form will also provide access to resources for quarantined individuals to learn about the disease they may have been exposed to.

Features
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Platforms
  • iPhone
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Integrations
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