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COVID-19 Coronavirus Monitoring Form

If you have: 1)been in contact with someone with a confirmed COVID-19 infection (including healthcare workers), 2)are experiencing symptoms of COVID-19 3)have been tested for COVID-19 to report results or a pending test or 4)traveled in the past 14 days to areas with ongoing community spread of the virus, please complete this form.

If you are a student and have questions about testing or would like to discuss symptoms with a healthcare provider, contact Student Health Services. EKU Health Plan employees can contact BluMine and the clinic will provide triage services for those employees who are symptomatic to determine if a test is warranted. Anyone seeking a test can also refer to the official list of public testing locations found on the Kentucky COVID-19 website.

Name, city, and state of testing center.

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