This form should be completed by the person who has tested positive, is experiencing symptoms, or has been exposed to someone with Covid-19.
Only in circumstances where the person cannot report themselves should another person use this form to report on behalf of an employee or student. The person should be aware you are making this report. Only direct supervisors reporting on behalf of their employees, faculty reporting on behalf of their students, or parent/guardians reporting on behalf of their child should use this form.
Those who prefer not to use this form can call the SXU Health Center at 773-298-3712 to report.