EIU Student COVID-19 Isolation Reporting Form (rev. 8/15/22)

EIU Student COVID-19 Isolation Reporting Form (rev. 8/15/22)

This form should only be utilized by those students who have tested positive through the use of a self-administered antigen test or have tested positive through the use of a laboratory PCR test. This form should be submitted within 24 hours of receiving a positive test result.

If you have tested positive using a self-administered antigen test, please isolate from others until you have been in contact with appropriate medical consultation. EIU Health and Counseling Medical Clinic will respond as soon as possible. However, response times may be delayed or limited during evening hours and weekends.

Please fill out the form to the best of your ability. Call the EIU Health and Counseling Services - Medical Clinic at 217-581-3013 Monday - Friday, from 8:00 - 4:30, with any questions.

If possible, please provide documentation of your isolation (e.g. test results) by attaching it to this report:

Email: health@eiu.edu
Fax: 844-256-6402