COVID Symptom Checker Form

If you have any symptoms of COVID-19, please use the form below to notify the University:

COVID Symptom Checker Form
Fields marked with an * are required
Within the last 10 days, have you been in close contact(6 feet or less for 10 minutes or longer) with someone who has been diagnosed with COVID-19? *
Repeated shaking or chills *
Extreme Level of Fatigue *
Cough(new or different than normal) *
New loss of smell and/or taste *
Shortness of Breath *
Sore Throat *
Body / Muscle Aches *
Congestion *
Headache *