SVHM COVID-19 Screening Entry Protocol form

You can attend the facility as usual.

Thank you for helping to keep our patients and each other safe

If you develop symptoms, please discuss it with your manager immediately or call the COVID-19 Advice Hotline on 1800 444 511 - 8.00 am - 6.00 pm Monday – Sunday

Please complete the Attestation and submit prior to attending each day

Close form and return to hospital website Please also click here to check in with Service Victoria

New COVID-19 Screening Entry form

Thank you for completing this form.

If you could proceeed to see the staff at the temperature checking station, presenting this screen to them, they will assist you for your visit.

Due to one or more of your answers to the screening questions, you have been identified to be at risk.
Staff may require further information at the screening station.

Please contact your contract manager if you have any concerns or require further information.

Thank you for completing this form.

Please see the staff.

Due to our screening process and your answers provided, you are required to see our staff upon entry to this premise to provide further information before entering our premises.

Also, since you or someone at your place of residence is currently required to isolate, please call the Contact Tracing Team on 9906 5630 before entering the premises.

Please contact DHHS or SVHM Contact Tracing Team for advice on testing and isolation.

Please contact DHHS or SVHM Contact Tracing Team for advice.

Please contact DHHS immediately.

Close form and return to hospital website

New COVID-19 Screening Entry form