Search form

You are here

Illness Intake Form

Faculty, staff, or students who are staying home due to illness should complete this confidential health and safety intake form. A nurse from the QCC Health and Wellness Team will contact you. 

If you need immediate medical attention, call 911.

If you test positive for COVID-19 by either rapid or PCR test, please DO NOT come to campus until you have spoken with a QCC Health Consultant.

swhitters [at] qcc.mass.edu (subject: Webform%3A%20Help) (Need help?)

randomness