COVID-19 Self-Declaration Form

If you have any potential concern or exposure regarding COVID-19, please complete the COVID-19 Self-Declaration Form by clicking on the link: https://forms.gle/g3XYC6qynbmMT32f6

The form will automatically be sent to the COVID Response Team. The COVID Response Team will evaluate your responses and an administrator will get back to you. Please provide as much information as possible!

Click on the below link to access St. Luke’s COVID-19 Testing Sites:
https://www.slhn.org/covid-19/feeling-sick/covid-19-testing-sites

Other St. Luke’s resources can be found at:
https://www.slhn.org/covid-19/feeling-sick