Contact Tracing Form

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Contact tracing is an important tool to help stop the spread of COVID-19. It is necessary that we receive a report as soon as possible should anyone at our facilities test positive for the virus.

As such, for those who have been diagnosed or suspected of having contracted COVID-19 and/or are waiting for results, we would ask you to report your situation to us, so that we can track and trace other people who may have come in contact with you.

Email *

For more information visit bccdc.ca/covid19

First Name *

Last Name *

Phone number *

Email Address

Which role best describes you *

Day of Session

Time of Session

Location (Field #) of Session

What are you reporting *

I have been diagnosed with COVID-19

I have COVID-19 symptoms/or suspected case

I have been tested for COVID-19 and am waiting for results

I have come into contact with someone who has tested positive for COVID-19

Other:

Required

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