Please fill out a single form for EACH person showing symptoms.

All of your personal information will remain confidential, and is there to allow our Health Department staff to monitor you.
With lack of testing supplies,  testing is being reserved for the most critical cases. It is important, however, that we continue to be able to track the spread of COVID-19 to align response resources in Butler County and evaluate the strategies in place to decrease the spread of illness. We need your help by filling out this form. This information will help us gain greater clarity on areas impacted and the types of symptoms being experienced. Most people who get COVID-19 will experience mild symptoms and not require direct medical care, however, information regarding any symptoms help public health response teams understand and track the spread of COVID-19 in Butler County.

If you are symptomatic, but otherwise ok, please self-isolate and self-report to the Butler County Health Department through this form.

If you are symptomatic and worsening, please call ahead to your primary care provider.

We ask that you not show up to a medical provider until you call first.

If it is an emergency, please call ahead before you go to the hospital or call 911.


Be sure to follow https://www.bucoks.com/760/COVID-19-Resource-Page 

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