COVID-19 Home Test
Reporting Form

Fairfield County Health Department (FCHD) is using this online form to collect information from individuals who have received their results from a non-proctored at home COVID-19 test. This information helps our team to better understand what is happening in our community, identify disease trends, and find outbreak clusters. Information provided in this form is confidential and is for health department use only.
CDC Guidance information.

Please only utilize this form below if you have received a POSITIVE result on a COVID-19 home test.

Thank you for your help!
Last Updated 01/25/2022
IF YOU TESTED POSITIVE FOR COVID-19
(Isolate) Everyone, Regardless of Vaccination Status: Stay home for 5 days. After 5 days, if you have no symptoms or your symptoms are resolving, you can leave your house, but must continue to wear a mask around others for 5 additional days. If you have a fever, continue to stay home until your fever resolves.

IF YOU WERE EXPOSED TO COVID-19
If you need more information