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What questions does the form ask?
There are different forms available based on regional advice, there are two main forms available which are based on guidance from governing bodies in the United Kingdom and New Zealand. We aim to update these based on the latest guidance as quickly as possible.
Patients must answer YES or NO to every question and sign the form to save it.
Default Form
The default form is shown below.
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Long form
There is a longer form available to use if you prefer, see below. If you would like to use this form please contact Support.
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UK Form - based on guidance from the NHS
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How does Exact decide if a patient needs to complete the form?
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