Please Fill travel date and other details
TRAVELLER HEALTH INFORMATIONS During the last 14 days
Fever ? 38°C
muscles and or joint pain
abdominales Chest, abdominal pain
Did you participate in festival or mass gathering ?
Have you visited, consulted (on an outpatient basis or been hospitalized in a health in the last 14 days before your departure?
Did you visit a live animal market in the last 14 days ?
Did you have close contact (less than 1 meters with a confirmed or suspect COVID-19 case ?
Have you visited a traditional healer in the last 14 days ?
If you are you a healthcare professional who has treated patients with COVID-19 on work with laboratory sample from COVID patient, Did you applied correctly individual protectives measures ?