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You May Submit Your Request 24 Hours Prior to the
completion of Your Release Date

(This would be on Day 10 to receive by the next day
since you must complete 10 full 24-hour days)

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

Patient Name

Improvement of Symptoms

Diarrhea Symptoms (In the last 24 hrs)

Fever without fever reducing medicine (Ex. Tylenol, Ibuprofen, Nyquil, Etc.) in the last 24 hours?

Are you and essential healthcare worker or first responder?

Are you staff, faculty, nurse or student at a elementary, middle school, high school?

Provide proof of negative result. (Image or PDF)

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