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COVID-19 Facility Reporting

Please report the total number of residents and the total number of staff who were on isolation for confirmed or probable COVID-19 in your facility at any point during that week. 

Numbers should be included for the following time period: Wednesday of the prior week through Tuesday of the current week. 
This question requires a valid date format of MM/DD/YYYY.
calendar
This question requires a valid date format of MM/DD/YYYY.
calendar
This question requires a valid number format.
5. Type of facility: *This question is required.
This question requires a valid number format.
This question requires a valid number format.
This question requires a valid number format.
This question requires a valid number format.
This question requires a valid number format.
This question requires a valid number format.