COVID-19 Self-Reporting | Concordia University Chicago

Please complete the from below if you have been diagnosed with COVID-19 or have had direct exposure to an individual with COVID-19. Student submissions will be shared with the Dean of Students Office and employee reports will be shared with the Office of Human Resources.

First Name

Last Name

H Number (if applicable)

Phone

Affiliation

Reporting Status

Confirmed COVID-19 Case
I have tested positive for COVID-19

Assumed COVID-19 Case
I have met with my healthcare professional who believes I have COVID-19 but I haven't been tested or am awaiting the results

Exposure to COVID-19 Case
I was in close contact with someone with a confirmed case or someone with an assumed case of COVID-19

Recovered
I had a confirmed or assumed case from which I've recovered. I'm past the 14-day self-isolation period

Date of Diagnosis (if known)

Are you experiencing any symptoms of COVID-19?

Yes No

List any symptoms:

On-campus residents are encouraged to isolate off-campus. If isolating off-campus is not an option for you, please isolate in your residence hall room.

Where do you plan to isolate?

On-campus Off-campus

Please provide any additional details about your situation.

Would you like someone from CUC to reach out to you in order to provide pastoral care and/or counseling during this time?

Yes No

Based on current CDC guidance it is ok to end home isolation after testing positive for COVID-19 when:

Free from fever without the use of fever-reducing medications for at least 24 hours.
It has been at least 5 days since the onset of the patient's illness or positive diagnosis.
Symptoms have improved
Wear your mask through day 10

Read More About CUC's COVID-19 Response Online
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