(University of Western Australia and Notre Dame University 2026

1. Click ‘Get Form’ to open it in our editor.
2. Begin by entering your name and the date of onset for your symptoms in the designated fields.
3. Select all applicable symptoms by ticking the boxes next to 'Loss of smell', 'Loss of taste', and any other relevant options.
4. In the 'Other symptoms' section, check any additional symptoms you may be experiencing, such as runny nose or migraine headaches.
5. Provide details about your medical history by checking relevant conditions like environmental allergies or previous surgeries.
6. Use the text fields to describe any tumors, neurologic problems, mouthwash, and toothpaste usage.
7. Finally, review all entered information for accuracy before submitting your completed form.

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