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Home COVID test reporting

TO:        Allegany County Media and Agencies

FROM:  Jami D’Arcy, Deputy Public Health Director

RE:        New COVID-19 Positive Home Test Reporting Form

DATE:   January 6, 2022

News Release: COVID-19 Positive Home Test Reporting Form

Due to the amount of new cases and home test results being reported to the Allegany County Department of Health daily, the ACDOH has implemented an electronic COVID-19 Positive Home Test Reporting Form.

The form is to be filled out and submitted by the positive case unless the case is a minor.  If the case is a minor, a parent or guardian may submit a form on their behalf.  Each positive requires a new form.  Once submitted, a member of our team will get back to you for tracing purposes within 3 days.  Please click on the following link to access the form:  https://hipaa.jotform.com/220054845953155

If you do not have a computer or internet access, you may call 585-268-9250 and leave your name and phone number.   We will return your call to help you submit a form.  Please isolate while waiting for a return call from a member of our staff.

 

 

The form can also be found on our website at:  www.alleganyco.com  under the Quick Links heading.