***Effective September 2021, you no longer need to submit a report if you are solely testing and do not require additional support. Please only submit if you require support from the MDH LTC Battle Plan team.***

INSTRUCTIONS

If you are a returning applicant please be sure you've entered your return code and are in your record. Please do not create a new application. If you do not have a return code, please email seoc.covid.testing@state.mn.us for your return code.

The following survey collects information on COVID-19 testing requests and allocation from Skilled Nursing and Assisted Living facilities.

The information will be utilized by MDH to provide logistical and/or testing support.

Please complete all of the following information. Staff will review the request and you will receive updates during the review process.

Upon submission you will be given a code so that you may return to update your information as requested by the testing team.

Thank you for your ongoing response efforts!

For Frequently Asked Questions, please reference the MDH LTC Testing Site: https://www.health.state.mn.us/diseases/coronavirus/hcp/ltctesting.html

Requests will be reviewed Monday-Friday from 8:00 AM - 4:30 PM. A minimum of 3 business days notification is needed prior to a testing date. Placing a request at the end of the week may result in a longer wait time as requests are not processed over the weekend.

For questions or concerns, please email seoc.covid.testing@state.mn.us

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