Positive COVID-19 Home Test Reporting Form

This form is for Erie County, NY residents ONLY.

Please use this form to report your at-home performed COVID-19 positive test to the Erie County Department of Health (ECDOH).

If you have tested positive for COVID 19, please review the information on the Isolation page for Isolation instructions.

If you have tested positive for COVID-19, treatment may be available. Contact your healthcare provider right away, after a positive test, even if your symptoms are mild. Don’t delay as treatment must be started within the first few days to be effective. More info here or call 1-800-232-0233 (TTY 1-888-720-7489).

ECDOH contact tracers will continue to attempt contact with all confirmed cases under age 18. Depending on case volume, other confirmed cases among Erie County residents may receive a phone call from our department. Case investigations continue and are prioritized for our K-12 school program and clusters within congregate living facilities.

If you would like to be contact traced or have have additional questions, please call 716-858-2929, and select the Contact Tracing option.

Fields with * are required fields.

Did you test positive for COVID-19 using an at-home performed test?

If yes, continue completing this form.

Date of Birth (DOB) (use format of mm/dd/yyyy)

Gender

Telephone

Email

Date of Positive COVID-19 Test (use format of mm/dd/yyyy)

COVID-19 Test Brand Name/Type