Monroe County, NY Positive COVID-19 Test Reporting & Isolation Order Request Form

Please use the form below request an isolation order based on a positive COVID-19 test result that you received. For home tests, a photo image of your positive test result is REQUIRED. Do not submit this form if your test was more than 10 days ago.

The order you receive will serve as both your isolation order and release. Isolation is for 5 days, and then you must wear a well-fitting mask for an additional 5 days, with the following exceptions.

EXCEPTIONS:

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