EMCC - Positive Case

Positive COVID-19 Test Reporting Form

Form for Students to complete should they test positive for COVID-19.

Name(Required)

First Last

Email(Required)

Phone(Required)

Preferred mode of contact?(Required)

Call

Text

Either

Date of Test(Required)

Type of test?(Required)

Symptoms?(Required)

Yes

Do you have a job on campus?(Required)

Yes

Where will you isolate?(Required)