COVID-19 Outbreak and Death Reporting Form for Shelters and Correctional Facilities
Please use this form to report:
- Any outbreak or unusual cluster of COVID-19 cases
- Death in a staff person or resident suspected to have died due to COVID-19
Correctional facilities and shelters operating under a CLIA waiver must report all positive, facility-administered rapid tests (e.g. Binax, Cue, QuickVue, etc.) through the SimpleReport system.
Test reporting resources:
If you would like technical asssistance from MDH, please contact Health.Remail@example.com.