INFECTIOUS DISEASE RISK ASSESSMENT FORM
____ I think I am at high risk ____ I think I am at low risk. ____ I think I am at NO risk. ____ I am not sure what my risk is. ____ Document whether or not client was assessed and if they were referred to the health department or other appropriate agency. Updated 11/04. Page 5 of 5. Title: INFECTIOUS DISEASE RISK ASSESSMENT FORM ... ................
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