Coronavirus Disease (COVID-19) Workplace Health Screening Alma College’s efforts to combat the spread of COVID-19 require students and employees to fill out the Health Screening form to notify the college if you: Have symptoms or are sick Have tested positive for COVID-19 Have been a close contact of someone who tested positive for COVID-19 When you notify Alma College of any of the above, you will be contacted by a member of our Care Team with guidance on testing, isolation and next steps. name text field Name (First and Last) email_address e-mail address field Email Address phone_number text field Phone number date text field Date time_in text field Time In horizontal_line field paragraph field Have you had any of the following symptoms develop or worsen with no other known cause? Please select symptoms that you are experiencing. fever_or_felt_feverish checkbox field Fever or felt feverish Yes No congestion_or_runny_nose checkbox field Congestion or runny nose Yes No a_new_uncontrolled_cough checkbox field A new uncontrolled cough Yes No difficulty_breathing checkbox field Difficulty breathing Yes No new_onset_of_severe_headache checkbox field New onset of severe headache Yes No sore_throat checkbox field Sore throat Yes No diarrhea_abdominal_pain_or_vom checkbox field Diarrhea, Abdominal pain, or Vomiting Yes No new_loss_of_taste_or_smell checkbox field New loss of taste or smell Yes No muscle_pain checkbox field Muscle aches Yes No chills checkbox field Chills Yes No paragraph field Have you done any of the following? Please select one or more options below. have_tested_positive_for_covid checkbox field Have tested positive for COVID-19 in the past 24 hours and are self-isolating? Yes No had_close_contact_with_an_indi checkbox field Had close contact with an individual diagnosed with Covid-19 in the past 10 days ? Yes No horizontal_line field paragraph field Do you have questions about Coronavirus (COVID-19)? Call the Michigan Department of Health and Human Services Hotline at 1-888-535-6136. Emergency Department can be reached at 989-466-3228 for instructions before coming to the facility. Wilcox Health Center: 989-463-7181 paragraph field Form updated 06/14/2022 Link (required) Last modified on Sep. 16th at 11:10am by Sandra Hagerman.