Risk Assessment: COVID-19

This COVID-19 Risk Assessment Form is based on the NCID case definition as at 25 May 2020, which places more emphasis on symptoms and less on travel or contact with a possibly infected person.

Last updated: 21 July 2020

Biographical Information
Co-Morbidities (Existing Medical Conditions)
Clinical Criteria (Symptoms)
Travel History
Patient Exposure
Calculated Variables

Based on your answers, we recommend that you commence self-quarantine for a period of 10 days and call the Provincial Hotline on 021 928 4102 for further advice.

(Tag: Symptoms: High Risk)

Based on your answers, we recommend that you commence self-quarantine for a period of 10 days and call the Provincial Hotline on 021 928 4102 for further advice.

(Tag: Symptoms: Low Risk: Metro)

Based on your answers, we recommend that you commence self-quarantine for a period of 10 days and call the Provincial Hotline on 021 928 4102 for further advice.

(Tag: Symptoms: Low Risk: Rural)

Based on your answers, we recommend that you commence self-quarantine for a period of 14 days and call the Provincial Hotline on 021 928 4102 for further advice.

(Tag: No Symptoms: Exposure)

Based on your answers, you do not currently meet the case definition criteria for COVID-19 and do not need to be seen in an emergency centre.

However, due to underlying factors you are at High Risk. Please practice social distancing and avoid public places as much as possible.

(Tag: Safe but High Risk)

Based on your answers, you do not currently meet the case definition criteria for COVID-19 and do not need to be seen in an emergency centre.

(Tag: Safe Low Risk)