facility health screening form

Member / Participant Facility entrance

Please complete the following survey for entrance into the facility. One form must be completed per family and every family member entering the facility listed and presented to staff EVERY time you enter the facility.

staff only

Staff reporting to work at Temple Emanu-El should complete the following health survey. One survey must be completed per staff person, per day (at the start of your shift), and presented to a staff person upon entry to the facility.

Logo     8500 Hillcrest Road          Tel. 214.706.0000
     Dallas, Texas 75225          Fax 214.706.0025

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