CDC COVID-19 Facility Access Tool

CDC Notice on Facility Access

Have you experienced any of the symptoms in the list below in the past 48 hours?

  • fever or chills
  • new or unexplained onset of cough, shortness of breath, or difficulty breathing
  • new or unexplained loss of taste or smell
  • new or unexplained muscle aches

CDC COVID-19 Facility Access Tool
Alternative Paper Copy - CDC COVID-19 Facility Access Tool pdf icon[PDF - 2 MB]
CDC Facility Access Not Approved - Further Instructions
CDC Notice on Facility Access

CDC staff who fail to provide accurate information on this form may be subject to disciplinary action.

This tool was developed by the Centers for Disease Control and Prevention (CDC) for use by CDC. The tool, however, is in the public domain and may be recreated, utilized, and adapted by the public at will.  The CDC name and logo may not be utilized if the tool is recreated for use by an external entity.  The tool is provided “as-is”; CDC accepts no liability for the use by an external entity.  The external entity assumes all risks and liabilities associated with the recreation, utilization and adaption of the tool for external entity’s use. CDC will not provide any support for the tool if recreated by an external entity.  CDC, with regard to this tool, makes no other representations, warranties, express or implied, and hereby disclaims all implied representation and warranties, including any warranty of merchantability and warranty of fitness for a particular purpose.

Page last reviewed: March 23, 2022