Central Michigan District Health Department Coronavirus (COVID-19) Communication Form
Filling out this form will allow you to receive email updates from the Central Michigan District Health Department about Coronavirus.
Which group best describes your role in the community?
Individual Community Member
Healthcare Provider or Facility
School or Childcare Staff
College or University Personnel
Business or Employer
Local or State Government
Food Service Establishment
Faith-Based or Community Organization
First Responders (Fire/Law/EMS/Emergency Management)
Organization/Business Name (Optional)
Your Name (First and Last)
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This form was created inside of CMDHD.