COVID-19 Status Update
Use this form to report COVID-19 status to ABAS
Date of reported activity
Do you or someone in your household have any of the following symptoms?
Fever or chills
Shortness of breath or difficulty breathing
Muscle or body aches
New loss of taste or smell
Congestion or runny nose
Nausea or vomiting
I am reporting:
COVID-19 Screening Failure
Positive COVID-19 diagnosis
Negative COVID-19 diagnosis
Close contact with someone diagnosed with COVID-19
Travelled to a COVID-19 afected area in the past 14 days
I have received new or updated isolation orders
Date of Quarantine Expiration
Look for emergency warning signs for COVID-19.
If someone is showing any of these signs, seek emergency medical care immediately:
-Persistent pain or pressure in the chest
-Inability to wake or stay awake
-Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone
Call your medical provider for any other symptoms that are severe or concerning to you.