Anonymous Drop-In Contact Tracing Form
If you tested positive and have dropped into Room 13 within 72 hours of receiving your test, please fill out this form for the safety of our staffers and future drop-ins. This form is completely anonymous, and the information provided will not be shared.
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Have you tested positive for COVID-19 AND dropped into Room 13 in the past 72 hours? *
What was the date that you dropped in to Room 13? *
If you cannot remember exactly, please provide a range of dates around the time of your visit.
Is there anything else you think we should know?
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