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Post-COVID Health History and Symptom Checklist

Having had COVID-19 is an important part of your health history – now and in the future. Use this worksheet to write down the details of your COVID illness, as well as any new or lingering symptoms that might need to be checked. 

This information also will help you and your care team understand how your health may have changed after COVID.

Download the file to view and print the 4-page handout.

  • Last Edited August 22, 2022