Contact Tracing Thank you for helping the community stay healthy and safe. Kindly fill up all fields in this contact tracing form. Complete Name Temperature Phone Address Symptoms Are you currently experiencing any type of the following symptoms: fever, sore throat, diarrhoea, shortness of breath? YesNo Declaration and Data Privacy Consent The information I have given is true, correct, and complete. I understand that failure to answer any question or giving false answer can be penalised in accordance with law. I voluntarily and freely consent to the collection and sharing of the above personal information in relation to RCOC COVID-19 internal protocols and for the purpose of affecting control of the COVID-19 infection as required by R.A. 11469, Bayanihan to Heal as One Act.