Self-Disclosure of Positive COVID-19 Test Result


If you have been diagnosed with COVID-19, use this form to report the diagnosis to the University for isolation purposes. 

Information submitted by or about you will be treated with respect to your privacy as much as possible.  However, we occasionally may be required or permitted by applicable federal, state, or local laws to reveal information from your health record. Examples include but are not limited to: disclosing to public health authorities and/or school officials in case of certain communicable diseases; in certain emergency situations (if FERPA information) or to emergency contacts.  

Available to

  • Students
  • Faculty
  • Staff
Report COVID-19


Service ID: 44983
Mon 8/3/20 12:25 PM
Wed 12/21/22 12:02 PM