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MHC COVID-19 Waiver
MHC COVID-19 Waiver
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Date of Birth:
Have you had or been in direct contact with someone who has had any symptoms consistent with Covid-19 such as fever, new loss of taste or smell, cough, or shortness of breath that are not associated with seasonal allergies, in the last 14 days?
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Have you been in direct contact with anyone who has tested positive for Covid-19 within the last 14 days?
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by clicking this box i certify this information is true to the best of my knowledge:
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Menu
Home
About Us
▼
Mission, Vision, Values
Staff
Board of Directors
Corporate and Community Partners
Our Impact
Job Openings
Apply for
Assistance
▼
Client Inquiry Form
Holiday Inquiry Form
Services
▼
Food Assistance
Clothing
Transportation
Back To School
Matthews Gives Back for the Holidays
Housing and Utility Assistance
Get Involved
▼
Volunteer
Shop Back Porch Treasures
Donate
MHC Events
Email List – Join & View Archive
Partner With Us
Backporch
Treasures
Contact Us