New COVID-19 Campus Visit Screening

  • COVID-19 Campus Visit Screening

  • Please submit this form each day that you need to visit campus.

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  • Are you currently up-to-date on your COVID vaccination(s) and/or have you recovered from a documented COVID-19 infection in the last 90 days?*

  • *You are considered up-to-date on your COVID vaccination(s) if you received a booster, OR had 2 shots of Pfizer or Moderna vaccine within the last 6 months OR had 1 shot of the Johnson and Johnson vaccine within the last 2 months.

  • Have you been in close contact with someone who tested positive for COVID-19 within the past 5 days?*

  • *Close physical contact is defined as being within 6 feet of an infected person for cumulative total of 15 minutes or more over a 24-hour period.

  • Is your personal contact with a positive COVID-19 patient directly related to your employment as a healthcare provider?*
  • Are you currently waiting on COVID-19 test results?*
  • Is the test you are waiting on due to your participation in weekly testing mandated by the Governor's Executive Order?*
  • Are you quarantining because you tested positive for COVID-19?*
  • Do you have any of the following new or worsening symptoms?*

  • You have selected "None of the Above" and at least one symptom from the list above. Please review your choices for this question. If you do not have any symptoms and selected one by accident, please uncheck it before proceeding.

    If you are currently experiencing symptoms, please unselect "None of the Above" and continue the form.

  • TRAVEL ADVISORY

    If you are returning to campus after travel to a state or country that was identified by the CDC with a COVID-19 travel advisory while you were there, please refer to the CDC or your local health department for information about suggested self-quarantine guidelines for travelers.

     

    When on-campus or preparing to visit any KC campus locations, please review and adhere to all posted guidelines. A facemask is required, please maintain social distancing and do not congregate in large groups.”

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  • You will need to choose either "None of the Above" OR a list of symptoms from the list above before being able to submit.

     

     

  • *If you receive an error upon submission that only one entry is allowed, please refresh this page in your browser and confirm that the date field above reads the correct date and time. 

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