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 OR if you have recently traveled outside the United States, or to states included in CDC advisories (i.e. New York, Connecticut and New Jersey). A staff member will be in touch with you regarding next steps depending on your responses.
*Note: Only complete the form if you have experienced symptoms, been exposed or have recently traveled in areas noted above.