Chickenpox/Shingles Screening Checklist
The Chickenpox/Shingles Screening Checklist is a stand-alone form created to assist staff in identifying and managing possible chickenpox/shingles cases in our facilities/community. The form can be used by staff but is not required. The information gathered from the use of the form may assist in diagnosis and treatment of cases, thus providing safe care for both staff and those they are caring for. Please note that there is a link to the Chickenpox and Shingles education presentation on the form and likewise, a link to the form in the education presentation.
Submitted by: Shelly Rempel, Infection Control Coordinator
For more information, contact email