• GHA Autism Supports Employee Illness and COVID Exposure Reporting Form

    For the health and safety of our community & those we serve, declaration of illness is required. Be sure that the information below is accurate and complete. Please get immediate medical attention if you have any of the COVID-19 signs.
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  • *Failure to answer questions accurately/honestly will result in disciplinary action- (including possible termination)


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  • By signing below, I acknowledge that the information I've given is accurate and complete.

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