+740.947.7721 24-hour emergency contact

COVID-19 INTERVIEW FORMS

COVID-19 Interview Forms

If you have tested positive for COVID-19, please click on the link below to complete your interview.
Positive Case Interview Form

If you were a close contact of a positive case, please click on the link below to complete your interview.
Close Contact Interview Form

If you have questions, please call us at 740-947-7721.

Vaccine Locations