FINY COVID-19 Resident Census
This census has been created under the auspices of the Island Community Board and the Island Health Project (IHP) of Fishers Island, NY. Your participation will enable the IHP to monitor the status of COVID-19 on the island by notifying and advising those who may have come in contact with the virus.
The information you provide will be treated as confidential and will be stored in a medically secure database. With your help, the IHP can more effectively protect the entire island population so we can all have a safe, fun, and relaxing summer.
***Please fill this form out for each member of the household individually. We thank you for your cooperation!
Cell phone number
Who are you filling this form out for?
Another Family member
Someone Who Works In My House
Never submit passwords through Google Forms.
This form was created inside of Fishers Island Health Project.