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Tool: Model COVID-19 Contact Log Sheet

Maintaining social distancing will be the price that medical offices and other businesses will have to pay to reopen and remain open until the COVID-19 threat goes away. But for social distancing to work, there must be a way to track and analyze actual encounters between people at your facility. One simple way to gather the essential data is to have employees and visitors complete a contact log sheet. Here’s a model your office can adapt for its own use.

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FIRST NAME

LAST NAME

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COMPANY

PHONE

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