I'm so sorry to hear that you've tested positive for COVID-19.

Make sure you call your healthcare provider to let them know you're positive so they can help manage your care!

You can prevent the spread to others by providing the following information. Your information is safe, secure and confidential and will only be used for management of your COVID-19 case.

Upon completion, I will provide you with your isolation completion date and, once verified, a letter to return to work/school plus other resources.

Everyone who tests positive for COVID-19, regardless of vaccination status, must:

  • Stay home for 5 days.
  • If you have no symptoms or your symptoms are resolving after 5 days, you can leave your house.
  • Continue to wear a mask around others for 5 additional days.

If you have a fever, continue to stay home until your fever resolves.

If you are the parent/guardian of a child who tested positive for Covid-19, please fill out this form on their behalf. If you and your child both tested positive, please fill out a form for each of you.

Let's get started. Help me learn more about you.

Your Contact Information
Your Demographic Information
Your Health Information - Remember, this is strictly confidential!

Great work!

You’re not quite done yet. I will provide you with a date when you can safely end isolation and leave your home once you complete the rest of this information.

Your Health Information - Remember, this is strictly confidential!
Your Covid-19 Case Information

We can help notify any close contacts outside of your household who may have been exposed. Note: This is strictly confidential – we will never mention your name. If you provide the names and phone numbers of your close contacts, we will text them the following message: You've been exposed as a close contact to someone who has tested positive for COVID-19. Visit mysaginawhealth.org for clarification on whether or not you need to quarantine.

Note: close contact is within 6 feet of someone for 15 minutes or more within a 24-hour period. (If you’re a teacher/student, close contact is within 3 feet of someone for 15 minutes or more with a mask OR within 6 feet of someone for 15 minutes or more without a mask within a 24-hour period).

You’re done! Press “Submit” and I will provide you with important information about your case.