Reporting of Covid Home Tests Here
Click here if you've already completed your affirmation and wish to view your report
Complete this form if you or your child test positive for COVID-19, even if you do not have symptoms. Upon completion, you will receive a document which may be used as if it was an individual Order for Isolation issued by the Montgomery County Director of Public Health.
BY CHECKING THIS BOX YOU ARE SWEARING TO THE VERACITY OF THE INFORMATION YOU HAVE PROVIDED ON THE FORM, AND THAT MCPH IS NOT RESPONSIBLE FOR INCORRECT INFORMATION ENTERED. YOU ACKNOWLEDGE THAT MCPH MAY VERIFY THE INFORMATION YOU HAVE PROVIDED, AND MAY CONTACT YOU FOR ADDITIONAL INFORMATION. YOU ALSO ACKNOWLEDGE THAT ANY AUTOMATICALLY GENERATED EMAILS AND REPORTS GENERATED UPON COMPLETION AND SUBMISSION OF THE FORM ARE NOT ENCRYPTED.