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Florida: QUARANTINE DETENTION ORDER

Department Of Health
__________ County Health Department
QUARANTINE DETENTION ORDER
By authority of Chapter 381 and 252, Florida Statutes
and Chapter 64D-3, Florida Administrative Code
_____ CHD Order #____________.
Pursuant to the authority vested in this office by Chapter 381, Florida Statutes, and by your refusal to comply with the Orders of the _______ County Health Department, you, __________ _(name)____________ are hereby DETAINED under QUARANTINE in the following

SECURE

facility, ___________________________. You are further classified as non-compliant with quarantine because after you were counseled about a communicable disease or unsafe condition that poses a threat to the public health, and methods to minimize the risk to the public and, despite such counseling, you indicated an intent by (words or actions) to expose the public to ________________. All other reasonable means of obtaining your compliance with quarantine have been exhausted; no less restrictive alternative exists.
You shall remain in detention from the date of this Order until (date) or until released from DETENTION QUARANTINE by the undersigned, such determination to be made upon the recommendation of the State Epidemiologist or State Health Officer.
While in DETENTION QUARANTINE, you shall comply with all orders of the detention facility regarding your medical care. You shall cooperate with the detention facility’s access to you and access to your medical records for purposes of delivering or monitoring your medical care.
Other Requirements/Orders:
1
Reasons For Above:
DONE and ORDERED by the ________ County Health Director/Administrator this ____
day of ___________, 20___.
By order of:
___________________________
________ County Health Department
_________Area Code & Phone Number
(for quarantine review requests, contact person)
DUTY TO COMPLY: This action is taken under the police power authority of the health department and your cooperation is required by law. Violation of any term of this Order or failure to comply during the life of this Order with the above-stated directives, including any attempt by a person to enter, exit or behave in a manner prohibited by the Order, is a CRIME.
RIGHT TO REVIEW. Upon request to the CHD, this Quarantine Order will be reviewed on an expedited basis. Review can be initiated by a phone call to the telephone number of the official whose name appears on this Order.
RIGHT TO CHALLENGE: This Quarantine Order may be challenged, such as through petition for writ of habeas corpus, Ch. 79, F.S., following the procedures set out in Rule 1.630, Florida Rules of Civil Procedure (extraordinary remedies) or by Petition For Administrative Review, sec. 120.569 et seq., F.S.
If you have concerns or questions regarding this Quarantine Order that you wish to discuss with your attorney please do so by telephone. Do not go to your attorney’s office or break this Quarantine in any way.
Legal Authority: s.381.0011(4),(5),(6) and s.381.0012(5), and s. 252.36(2), F.S.; Rules 64D-3.005 and 64D-3.007, Florida Administrative Code

Florida: QUARANTINE TO RESIDENCE ORDER

Department Of Health
__________ County Health Department
QUARANTINE TO RESIDENCE ORDER
By authority of Chapters 252 and 381, Florida Statutes
and Chapter 64D-3, Florida Administrative Code
_____ CHD Order #____________.
You, _________(name)_____________________, are hereby quarantined for protection from ________________________________, an unsafe condition or communicable disease that poses a threat to public health. You are QUARANTINED to your residence at __________________________, and shall remain there from the date of this Order until (date) or until QUARANTINE is released by the undersigned authority. YOU ARE NOT PERMITTED TO LEAVE YOUR RESIDENCE.
While in QUARANTINE, you must wear a surgical mask at all times while in the presence of any individual, including any caregiver. Your visitors and/or caregivers also must wear surgical masks at all times when in your presence. The County Health Department (CHD) will call your residence daily to obtain your temperature record, which you must take and record two times daily.
You must comply with all orders regarding your medical care. You must cooperate with the CHD including CHD access to you and access to your medical records for purposes of delivering or monitoring your medical care.
Other Requirements/Orders:
Reasons For Above:
2
DONE and ORDERED by the ________ County Health Director/Administrator this ____
day of ___________, 20___.
By order of:
___________________________
________ County Health Department
_________Area Code & Phone Number
(for quarantine review requests, contact person)
DUTY TO COMPLY: This action is taken under the police power authority of the health department and your cooperation is required by law. Violation of any term of this Order or failure to comply during the life of this Order with the above-stated directives, including any attempt by a person to enter, exit or behave in a manner prohibited by the Order, is a CRIME.
RIGHT TO REVIEW. Upon request to the CHD, this Quarantine Order will be reviewed on an expedited basis. Review can be initiated by a phone call to the telephone number of the official whose name appears on this Order.
RIGHT TO CHALLENGE: This Quarantine Order may be challenged, such as through petition for writ of habeas corpus, Ch. 79, F.S., following the procedures set out in Rule 1.630, Florida Rules of Civil Procedure (extraordinary remedies) or by Petition For Administrative Review, sec. 120.569 et seq., F.S.
If you have concerns or questions regarding this Quarantine Order that you wish to discuss with your attorney please do so by telephone. Do not go to your attorney’s office or break this Quarantine in any way.
Legal Authority: s.381.0011(4),(5),(6) and s.381.0012(5) and s. 252.36(2), F.S.; Rules 64D-3.005 and 64D-3.007, Florida Administrative Code

Florida: QUARANTINE TO RESIDENCE ORDER (NON-COMPLIANCE)

Department Of Health
__________ County Health Department
QUARANTINE TO RESIDENCE ORDER (NON-COMPLIANCE)
By authority of Chapters 381 and 252, Florida Statutes
and Chapter 64D-3, Florida Administrative Code
_____ CHD Order #____________.
You, __________ _(name)____________, have been identified as a person classified as a _______________ “contact,” or identified as a confirmed case, a probable case, or suspect case of ______________________________, a communicable disease or unsafe condition that poses a threat to the public health. You are further classified as non-compliant with quarantine because after you were counseled about a communicable disease or unsafe condition that poses a threat to the public health, and methods to minimize the risk to the public and, despite such counseling, you indicated an intent by (words or actions) to expose the public to ________________. All other reasonable means of obtaining your compliance with quarantine have been exhausted; no less restrictive alternative exists.
YOU ARE NOT PERMITTED TO LEAVE YOUR RESIDENCE. You are QUARANTINED to your residence at __________________________, and while QUARANTINED there shall continuously wear an electronic monitoring ankle bracelet on your ankle, or alternatively ________________________________________, from the date of this Order until (date) or until released from DETENTION QUARANTINE by the undersigned, such determination to be made upon the recommendation of the State Epidemiologist or State Health Officer.
While in QUARANTINE, you must wear a surgical mask at all times while in the presence of any individual, including any caregiver. Your visitors and/or caregivers also must wear surgical masks at all times when in your presence. The County Health Department (CHD) will call your residence daily to obtain your temperature record, which you must take and record two times
daily. If you do not answer your telephone or are not at home during two consecutive contact attempts, the CHD may order you to wear an electronic monitoring bracelet to ensure that you do not leave your residence. If you leave your residence while monitored, the CHD may forcibly detain you in a quarantine facility.
While in QUARANTINE, you shall comply with the orders of medical personnel regarding your medical care. You shall cooperate with the County Health Department (CHD) and with CHD access to you and to your medical records for purposes of delivering or monitoring your medical care.
Other Requirements/Orders:
Reasons For Above:
DONE and ORDERED by the ________ County Health Director/Administrator this ____
day of ___________, 20___.
By order of:
___________________________
________ County Health Department
_________Area Code & Phone Number
(for quarantine review requests, contact person)
DUTY TO COMPLY: This action is taken under the police power authority of the health department and your cooperation is required by law. Violation of any term of this Order or failure to comply during the life of this Order with the above-stated directives, including any attempt by a person to enter, exit or behave in a manner prohibited by the Order, is a CRIME.
RIGHT TO REVIEW. Upon request to the CHD, this Quarantine Order will be reviewed on an expedited basis. Review can be initiated by a phone call to the telephone number of the official whose name appears on this Order.
RIGHT TO CHALLENGE: This Quarantine Order may be challenged, such as through petition for writ of habeas corpus, Ch. 79, F.S., following the procedures set out in Rule 1.630, Florida Rules of Civil Procedure (extraordinary remedies) or by Petition For Administrative Review, sec. 120.569 et seq., F.S.
If you have concerns or questions regarding this Quarantine Order that you wish to discuss with your attorney please do so by telephone. Do not go to your attorney’s office or break this Quarantine in any way.
Legal Authority: s.381.0011(4),(5),(6) and s.381.0012(5), and s. 252.36(2), F.S.; Rules 64D-3.005 and 64D-3.007, Florida Administrative Code

Florida: QUARANTINE OF FACILITY ORDER

Department Of Health
__________ County Health Department
QUARANTINE OF FACILITY ORDER
(Hospital/Medical/Security/Parts Thereof)
By authority of Chapters 381 and 252, Florida Statutes
and Chapter 64D-3, Florida Administrative Code
_____ CHD Order #____________.
Due to an outbreak and/or the high volume of ______________ cases which is a communicable disease or unsafe condition, you, _____________(name)_______________, as the administrator, authorized representative, or person in charge of the ________________________ facility are hereby notified by the _______ County Health Department (CHD) that ___________________ of your facility is placed under a QUARANTINE. This order is in force from the date below until (date) or until QUARANTINE is released by the undersigned authority. No person shall be allowed to enter or leave your facility without the written approval of the undersigned.
While this QUARANTINE is in effect, you shall comply with all orders of the _______ County Health Department.
Other Requirements/Orders:
Reasons For Above:
1
2
DONE and ORDERED by the ________ County Health Director/Administrator this ____
day of ___________, 20___.
By order of:
___________________________
________ County Health Department
_________Area Code & Phone Number
(for quarantine review requests, contact person)
DUTY TO COMPLY: This action is taken under the police power authority of the health department and your cooperation is required by law. Violation of any term of this Order or failure to comply during the life of this Order with the above-stated directives, including any attempt by a person to enter, exit or behave in a manner prohibited by the Order, is a CRIME.
RIGHT TO REVIEW. Upon request to the CHD, this Quarantine Order will be reviewed on an expedited basis. Review can be initiated by a phone call to the telephone number of the official whose name appears on this Order.
RIGHT TO CHALLENGE: This Quarantine Order may be challenged, such as through petition for writ of habeas corpus, Ch. 79, F.S., following the procedures set out in Rule 1.630, Florida Rules of Civil Procedure (extraordinary remedies) or by Petition For Administrative Review, sec. 120.569 et seq., F.S.
If you have concerns or questions regarding this Quarantine Order that you wish to discuss with your attorney please do so by telephone. Do not go to your attorney’s office or break this Quarantine in any way.
Legal Authority: s.381.0011(4),(5),(6) and s.381.0012(5), and s.252.36(2), F.S.; Rules 64D-3.005 and 64D-3.007, Florida Administrative Code