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טופס הצהרת בריאות - קורונה

I am not required to be in isolation under the provisions of the law

Over the past week to today (inclusive), my body temperature was below 38 degrees Celsius.

I do not cough (except for a cough caused by a chronic condition such as asthma or allergy).

I haven't been in close contact with Corona patient for the past two weeks)

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