IF THIS IS A MEDICAL EMERGENCY, PLEASE CALL 911 OR SEEK MEDICAL ATTENTION.
This tool was created for residents of La Crosse County, WI who think they may have had an exposure to COVID-19 or who are having symptoms and have not been able to get tested. In this tool, we define exposures as being within 6 feet for 15 minutes or more OR having contact with bodily secretions (coughs, sneezes, saliva, blood, etc.). There are two ways to be exposed:
Directly exposed to a known lab-confirmed case the patient can identify by name, or
When an individual was in a location identified by the health department as an outbreak or investigation within the specified dates and times.
If you or an individual for whom you are the legal guardian meets this criteria, please report to us through this form.
I am worried that I was exposed. Will I get COVID-19? COVID-19 spreads easily between people, but not everyone who comes in contact with a positive case will develop COVID-19. Each person's level of risk depends on the nature of their contact as well as other factors like pre-existing health status. Regardless, DO NOT PANIC. Our recommendations are intended to be cautious in order to protect you, your family and our community.
I have symptoms. What do I do? If you have any symptoms of COVID-19, you should stay home. You should not leave your house except to seek medical care (if you do, call before you go). See information about testing referrals below.
Can you refer me for testing? As part of this form, we will screen you to identify if you meet testing criteria; if you do and want to be tested, we will refer you for testing.
What if I don't meet testing criteria? If you do not meet testing criteria, this tool will provide instructions about what to do.
**PLEASE, ONLY COMPLETE THIS FORM FOR YOURSELF OR SOMEONE FOR WHOM YOU ARE THE LEGAL GUARDIAN.**
IMPORTANT INSTRUCTIONS: Complete one form per person.