Health self declaration form 2025

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  1. Click ‘Get Form’ to open the health self declaration form in the editor.
  2. Begin by filling out the 'Traveller Information' section. Enter your first name(s), last name(s), date of birth, travel document number and issuing country, country of residence, and port of origin.
  3. In the next section, answer whether you or any member of your group had close contact with someone showing COVID-19 symptoms in the past 14 days by selecting 'Yes' or 'No'.
  4. Proceed to indicate if you or any group member experienced symptoms such as fever, shortness of breath, coughing, or sudden loss of taste/smell in the past 14 days. Mark 'Yes' or 'No' for each symptom.
  5. Next, confirm if you or anyone in your group tested positive for COVID-19 in the last 3 days. If available, attach a report.
  6. Finally, list all countries and cities visited or transited through in the last 14 days along with visit dates. Ensure to start with the most recent country.
  7. Sign and date the form at the bottom before submitting it.

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We use this form to record your declaration regarding your health and any relevant medical conditions. We may also ask you to complete this form to help us determine whether you are suitable to continue in post if there are any docHub changes in your health while registered.
I declare that I am not suffering from any infectious, chronic or any other disease, which makes me, unfit. 2. I also declare that I am not suffering from asthma, epilepsy or any other medical problem which requires immediate medical attention.
The details of your medical history are strictly confidential and the forms will be destroyed after the event, unless in the event of an incident.
I further declare that I perform all my routine activities independently, that I do not have any history of, have never suffered from, am not currently suffering from, nor have I received, nor am I currently receiving, nor do I expect to receive any treatment, nor been hospitalized, nor do I expect to be hospitalized