Skip to form
image

You Must Submit Your Request On But No Later Than 24 Hours From Your Release Date.

Release from Isolation Date

Date Picker

If you do not have a Reference Number nor a Release From Isolation Date, please fill the items below:

Date Tested

Date Picker

Date your symptoms began

Date Picker

Diarrhea Symptoms

Fever (In the last 24 hrs)

Are you and essential healthcare worker or first responder?

Provide proof of negative result. (Image or PDF)

If you have any questions, please call 915-212-6520 or 915-212-6843.