Health Self Reporting Form
Please fill out this questionnaire if you have any reason to believe you have been exposed to the COVID-19 virus, have been experiencing symptoms, or tested positive for COVID-19. A staff member will be in touch with you regarding next steps depending on your responses. We highly recommend that you also sign up for TestNebraska.
**Note: Only complete the form if you have experienced symptoms, been exposed or have tested positive for the virus.