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.