Report a Positive Case of COVID-19

(For use by K-12 Schools & Early Childhood Care and Education Programs ONLY)

The New York State Department of Public Health requires all local K-12 Schools & Early Care and Education Programs to report positive cases of COVID-19 among faculty, staff and students/participants to the Monroe County Department of Public Health.

MCDPH monitors this data on a regular basis, however if you have an immediate concern, please email us at [email protected] in addition to filling out this form.

Name of School or Program Provider *

Contact First Name *

Contact Last Name *

Contact Email *

Contact Phone *

Case First Name *

Case Last Name *

Case Date of Birth *

Submit Form