PA Department COVID test results

Please fill in the required information and upload your outside COVID testing results here.

Note, all positive results MUST be reported by the COVID team to the Virginia Department of Health (VDH). If the test is positive, please answer the questions below your uploaded test. These questions are mandatory reporting required by the VDH. You may decline gender and race. The VDH will contact you to confirm this report.

All fields marked with asterisk (*) are required.

required text field
required text field
required e-mail address field
required date/time field
COVID Test Date & Time*
at
required radio button field
Test Result*
required file attachment field
Please make sure your name and test date are written on the test card/cartridge.
(50 MB max)
required checkbox field
Honor Code*
paragraph field

If your COVID at home/outside test is NEGATIVE, no more information is needed. Please follow the SHS/SON protocol for return to campus/class/work. You may submit your form without filling out the next section. If your test is POSITIVE, please answer the questions below for the Virginia Department of Health. Next quarantine and await contact from your department and COVID Team for further instructions.

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date field
Required for VDH reporting of positive tests
text field
Required for VDH reporting of positive tests
text field
Required for VDH reporting of positive tests
text field
Required for VDH reporting of positive tests
radio button field
Race
Required for VDH reporting of positive tests
radio button field
Sex assigned at birth
Required for VDH reporting of positive tests