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Reporting an at Home Positive COVID-19 Test Result

Reporting a COVID-19 At Home Test Result (Riley county, KS & Surrounding Areas)

This question requires a valid date format of MM/DD/YYYY.
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2. What was the test result? *This question is required.
3. Contact Information: *This question is required.
This question requires a valid date format of MM/DD/YYYY.
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5. Biological Sex:
This question requires a valid email address.
7. Have you been vaccinated?
8. Were you a direct close contact of someone who tested positive?