COVID 19 HEALTH MANAGEMENT

We are required under the Chief Health Officer Public Health direction to gather the following information. Please complete the questions for each guest  and submit the form. This information will only be kept for as long as Health regulations require and will be destroyed when no longer required.

On the day before or on the day or your arrival, please complete and submit  the form below; all questions are required to be answered individually for each guest.

  • Arrival date:
  • Full Name:
  • Telephone number:
  • Current home address:
  • Have you returned to Australia from overseas in the last 14 days?
  • In the last 14 days have you been in close contact with someone who has Covid 19?
  • In the last 14 days have you been in a Covid 19 hotspot?
  • Can you confirm you have not been unwell in the last 72 hours with cold or flu-like symptoms such as fever, cough, sore throat or shortness of breath, and are otherwise well and fit for work?
  • Have you been previously diagnosed with Covid 19? • If yes, confirm at least 10 days have passed since the onset of symptoms. • If yes, confirm you have been free of all symptoms for at least 72 hours. Please provide evidence of completion of isolation.
  • Please advise of locations visited and accommodation details in the 14 days before arrival
  • Full Name:
  • Telephone number:
  • Current home address:
  • Have you returned to Australia from overseas in the last 14 days?
  • In the last 14 days have you been in close contact with someone who has Covid 19?
  • In the last 14 days have you been in a Covid 19 hotspot?
  • Can you confirm you have not been unwell in the last 72 hours with cold or flu-like symptoms such as fever, cough, sore throat or shortness of breath, and are otherwise well and fit for work?
  • Have you been previously diagnosed with Covid 19? • If yes, confirm at least 10 days have passed since the onset of symptoms. • If yes, confirm you have been free of all symptoms for at least 72 hours. Please provide evidence of completion of isolation.
  • Please advise of locations visited and accommodation details in the 14 days before arrival