Health Declaration

הצהרת בריאות לעובדי העמותה ולמבקרים במרכזים

full name*

ID*

Date of birth*

Phone Number*

Job:

Beersheba (Nahal Smoke)
Beersheba (Beka River)
אופקים
חדרה
Tirat Carmel
Migdal Haemek
Boulevard
Pardes Hana
Netanya
View of the Galilee
Acre
Or Akiva

I measured fever and found that my body temperature was below 38 degrees Celsius.

I declare that I do not cough and that I have no breathing difficulties.

To the best of my knowledge I have not been in close contact with a verified corona patient in the last two weeks.