Report COVID-19 condition
We do not keep electronic records of your COVID-19 condition
By submitting this form, you are authorizing our nurse to contact you to discuss your COVID-19 symptoms, condition and test results
We only use the information you share to help notify those who might be affected
You may also directly reach out to the Safe 2Gather nurse, and by doing so you are authorizing our nurse to discuss your COVID-19 symptoms, condition and test results