This form MUST be completed for each day of requesting entry to the ACEN office, prior to coming to the Atlanta Financial Center.

  • Complete the form, all fields are required;
  • Submit and ensure you receive a confirmation of submission;
  • Confirmation of submission contains important information. Please read through the entire message;
  • A copy of your submitted form will be received, reviewed, and recorded.

If you answer “Yes” to any of the questions, you will not be permitted to enter the ACEN office or come to the Atlanta Financial Center.

Use the link or scan the QR Code to begin.
www.acenursing.org/covid-daily-certification-form