314•429•0896

24/7 Emergency Service

Bob Raeker Headquarters:

9651 Lackland Rd
Overland, MO 63114
Phone: 314•429•0896
Fax: 314•429•1672


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COVID-19 Screening Questionnaire

Please complete this form daily.

Today or in the past 24 hours have you had any of the following symptoms:

Fever

(Temperature great than 100.4 for children and greater than 100 for individual over the age of 18)

Shortness of breath or trouble breathing.

Sore throat that is different from your seasonal allergies.

New Loss of smell and\or taste.

Diarrhea or vomiting.

Abdominal Pain.

Do you have a household member or close contact who has been diagnosed with COVID-19 in the past two weeks?.

(Close contact is defined as prolonged exposure or greater than 15 minutes within 6 feet without a mask)

Have you tested positive for COVID-19 or received inconclusive results, awaiting test results, or have had significant exposure to a positive COVID-19 individual?

If you answered "Yes" to any of the screening questions, you are not permitted to show up to work until you contact Rob at 314-799-1370