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 and the State Emergency Operations Center 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:

  • Testing date
  • # of actual residents and staff tested
  • # of positive residents and staff cases

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

Please note the State Emergency Operations Center (SEOC) hours of operation are Monday-Friday from 8:00 AM - 4:30 PM. Placing a request at the end of the week may result in a longer wait time as requests are not processed over the weekend.

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