ILC Healthcare Worker Declaration Form

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ILC Healthcare Worker Declaration Form

This form is to help us take precaution, as well as provide better care for Doctors, Nurses and Allied Healthcare Professionals that are working on the frontline during this period.

People who should fill up this form:
CAT 1: Members who are working in a hospital/clinic setting in any profession.
CAT 2: Members staying in the same house as a next of kin/housemate that works in a hospital/clinic setting in any profession

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Which category do you fall into?

CAT 1

CAT 2

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This form was created inside of Impact Life Church. Report Abuse