The Minnesota Department of Health (MDH) continues to support Long-term Care (LTC) facilities (Skilled Nursing and Assisted Living) experiencing staffing shortages due to COVID-19.

The following form requests information from licensed and unlicensed healthcare workers (RNs, LPNs, Nursing Assistants) willing to assist long-term care providers experiencing a staffing shortage due to a COVID-19 outbreak in their facility. Your information will be transferred to our Aladtec system (LTC COVID-19 response supplemental staffing database) to provide temporary support.

Please complete the information below. On a weekly basis information is compiled and submitted to Aladtec for account creation. Additional information regarding next steps will be communicated to you shortly thereafter.

Loading... Loading...
You have selected an option that triggers this survey to end right now.
To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.