COVID-19 Reporting Form

To assure the health and safety for yourself and our community, please fill out this self-report form to assure that the proper care and resources are provided to you.

Our office hours are 8am-5pm Monday-Friday.
If you are submitting Health Forms outside of these office hours, our staff will be unable to respond until our regular business hours. If this is an emergency, please call 911.
Please click here for after hours urgent care clinics, if needed for other services.
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