COVID Community Form

All calls are confidential; we ask for at least a first name for communication purposes.

We will not be able to reveal any test results about anyone, we will not discuss another person’s case

We will not be able to provide medical advice or diagnose.

First Name

Last Name

ZIP / Postal Code

Phone

If you would like us to call you in your preferred language, what language?

Please check the area(s) you would like to speak with us about:Signs and SymptomsExposure to COVID-19Testing for COVID-19Isolation and QuarintinePreschoolsK-12 SchoolsColleges/UniversitiesWork/BusinessEventsVaccines/BoostersCurrent CDC GuidelinesOther

What are your questions/concerns?

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