FAR EASTERN MEMORIAL HOSPITAL
Screening Record
QR code for rapid line
*Required
*Purpose:
* Inquire previous statement

最後填寫日:
Your previous statement is invalid now.
(Please provide your recent symptoms/signs and contact history. Your personal information is available.Please revise the record if there is any change.。)
姓名重填
*Name:
電話重填
*Telephone:


In order to protect everyone, please fill out the questionnaires.
*Traveling within the past 14 days
*Occupation
*Contacting history within the past 14 days
*Cluster
*Any display symptoms

*Does the patient live in long term care facility?
每日健康管理(陪病者每日需輸入)
*體溫
體溫大於等於38℃即是發燒
*咳嗽
*腹瀉
如有其他症狀,請主動告知醫護人員。
年度考績時間為: