By signing this log, I hereby state that I have
read,
understand and am willing to fully comply with rules and regulations stated in the Visitor
Policy.
Health Concerns: vomiting; diarrhea; Issues with skin on hands, arms or face; boils on fingers;
discharge from eyes; nose or mouth; recurring bowel disorder; have any infectuous diseases
(Salmonella, Camylobacter, Vibrio, Yersinia, Bacillus, Staph. Aureus, Clost. Perfrigens,
Protozoa,
Shigella sonnei, Worms); have been in contact with anyone with any infectuous diseases; in the
last
21 days have been abroad or in contact with anyone at home or abroad who may be suffering from
typhoid or paratyphoid.