COVID-19 Self Attestation Portal Update

COVID-19 Self Attestation Portal Update
Posted on 01/13/2022
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Dear Parent/Guardian:

The Sullivan County Department of Health has released information on their newly available Self-Attestation Portal. This portal is where you can confidentially report your COVID-19 test results. The information that I have shared in this update, comes directly from the following link:

https://sullivanny.us/Departments/Publichealth/Coronavirus/Attestation

Please read through the update as the Fallsburg Central School District is following the protocols described below.  Our school nurses will be accepting the completed forms as documentation evidence as needed. Please email your school nurse (see below) with your updated documentation.

Benjamin Cosor Elementary School: Nurse Ashley Herbert: aherbert@fallsburgcsd.net

Fallsburg Junior Senior High School: Nurse Jaqueline Jara-Cole: jjaracole@fallsburgcsd.net

Two items to note: Under the Where Did You Take a Covid Test Section, school is not a choice on that pulldown menu.  Public Health is aware of this and will be adding school as a choice. Additionally, I have included Public Health’s press release at the bottom of this update.

Thank you.

Dr. Katz

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Self-Attestation Portal

Report a COVID Test and Receive an Isolation Affirmation Form

Filling out this form will confidentially report your COVID-19 test results to Sullivan County Public Health Services. You will also immediately be emailed an Isolation Affirmation Form that you can print out, sign and present as proof that you are isolating or have completed isolation (for example, to your employer or school district).

NOTE: If you are seeking a Quarantine Affirmation Form or you have further questions, please scroll farther down the page.

 


 

Create a Quarantine Affirmation Form

If you or your child quarantined (this means you or your child were exposed to someone who tested positive for COVID-19), please click here to fill out THIS DOCUMENT. It is a fillable PDF - just click in the area you wish to complete, then begin typing. If you have trouble typing in the PDF, print it out and complete in blue or black pen.

If you or your child isolated (this means you or your child tested positive for COVID-19), please scroll back up the page and fill out the Isolation Affirmation Form.

 


 

What Are These Forms For?

The enormous amount of positive cases of COVID-19 means health departments simply can't provide isolation/quarantine orders as quickly as necessary, nor the subsequent documentation to clear an individual to return to work or school. Thus these "self-attestation" forms are being provided to allow individuals to directly obtain the necessary documentation.

Sullivan County Public Health encourages those who test positive for COVID-19 to isolate themselves and notify their close contacts that they may have been exposed. However, due to the extremely high number of cases, we have determined that contact tracing does not provide meaningful support in reducing the spread of COVID-19 in Sullivan County at this moment, with the exception of those in congregate settings such as schools, nursing homes, group homes, and incarceration facilities. Thus we have discontinued COVID-19 contact tracing until otherwise directed by the New York State Department of Health.

Anyone who needs to provide a school or employer with documented evidence of their illness and isolation period will be able to submit their test results to Public Health and receive their documentation via this page.

What If I Can't Use These Forms?

Anyone who is unable to fill out these forms or submit their test results electronically may contact the Sullivan County Public Health COVID Info Line at 845-513-2268 for assistance.

What Should I Do With My Completed Forms?

You can provide completed Isolation or Quarantine Affirmations to any appropriate authority that requests them (for example, an employer or a school district). At the very least, make sure to save these forms in a secure location online or physically, for future retrieval. You do not need to provide Public Health with a copy at this time.

How Do I Know If I Should Quarantine or Isolate?

If you are unsure whether to isolate or quarantine, please see the flow chart below:

 

 




Press Release

COVID-19 Test Report Portal Opens

Isolation and Quarantine Affirmation Forms Included

Liberty, NY – To meet exponentially rising demand for COVID-19 isolation and quarantine affirmation/release forms, Sullivan County Public Health Services today debuted a new test reporting portal for public use.

“In collaboration with our Information Technology Services team, we’ve developed a way for everyone to quickly and easily get the form they need to prove they have been or are isolating or quarantining,” Public Health Director Nancy McGraw affirmed.

The forms can be found at www.sullivanny.us/Departments/Publichealth/Coronavirus/Attestation.

For those who have tested positive for COVID-19, an Isolation Affirmation Form is required and can be obtained via email by reporting test results to Public Health on the above page.

For those who have been exposed to someone with COVID-19, a Quarantine Affirmation Form is required and can be filled out, downloaded and printed from the above page.

Both forms can be used as proof of isolation/quarantine with local employers, school districts and other appropriate authorities. Any submitted information will be kept confidential.

“This is designed to streamline the process for all of us – our staff and the public – during a very busy time in this ongoing pandemic,” McGraw explained. “However, those who are unable to use or access these forms can call us at 845-513-2268, and we will make sure the needed forms are obtained.”

“New York State is developing a portal as well, but there’s an immediate need for this, so we’ve made our own,” Sullivan County’s Division of Health & Family Services Commissioner John Liddle related. “If and when the State opens its portal, people are welcome to access it, but at this point, we’re encouraging all Sullivan County residents to use our portal to self-report a positive home test and obtain the necessary paperwork.”

El Departamento de Salud del Condado de Sullivan ha publicado información en su Portal de Autocertificación recientemente disponible. Este portal es donde puede informar de manera confidencial los resultados de su prueba COVID-19. La información que he compartido en esta actualización proviene directamente del siguiente enlace:

https://co.sullivan.ny.us/Departments/Publichealth/Coronavirus/Attestation

Lea la actualización ya que el Distrito Escolar Central de Fallsburg está siguiendo los protocolos que se describen a continuación. Nuestras enfermeras escolares aceptarán los formularios completados como evidencia de documentación según sea necesario. Envíe un correo electrónico a la enfermera de su escuela (ver más abajo) con su documentación actualizada.

Para la escuela Primaria Benjamin Cosor: Enfermera Ashley Herbert: aherbert@fallsburgcsd.net

Escuela Secundaria/Preparatoria Junior Senior de Fallsburg: Enfermera Jaqueline Jara-Cole: jjaracole@fallsburgcsd.net

Dos elementos a tener en cuenta: en la ¿Dónde tomó una prueba de Covid?, la sección escuela no es una opción en ese menú desplegable. Salud Pública es consciente de esto y agregará la escuela como una opción. Además, he incluido el comunicado de prensa de Salud Pública al final de esta actualización.

Gracias.

Dra. Katz

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Portal de autocertificación

Reporte su prueba de COVID y reciba un formulario de afirmación de aislamiento

Al completar este formulario, informará de manera confidencial los resultados de su prueba de COVID-19 a los Servicios de Salud Pública del Condado de Sullivan. También se le enviará inmediatamente por correo electrónico un Formulario de Afirmación de Aislamiento que puede imprimir, firmar y presentar como prueba de que se está aislando o ha completado el aislamiento (por ejemplo, a su empleador o distrito escolar).

NOTA: Si está buscando un formulario de afirmación de cuarentena o si tiene más preguntas, desplácese hacia abajo en la página.




Cree un formulario de afirmación de cuarentena

Si usted o su hijo/a fueron puestos en cuarentena (esto significa que usted o su hijo estuvieron expuestos a alguien que dio positivo a COVID-19), por favor haga clic aquí para llenar ESTE DOCUMENTO.  Es un PDF que se puede completar: simplemente haga clic en el área que desea completar y luego comience a escribir. Si tiene problemas para escribir el PDF, imprímalo y complételo con bolígrafo de tinta azul o negro.

Si usted o su hijo/a se aislaron (esto significa que usted o su hijo dieron positivo en la prueba de COVID-19), desplácese hacia atrás en la página y complete el Formulario de afirmación de aislamiento.




¿Para qué sirven estos formularios?

La enorme cantidad de casos positivos de COVID-19 significa que los departamentos de salud simplemente no pueden proporcionar órdenes de aislamiento/cuarentena tan rápido como sea necesario, ni la documentación posterior para autorizar a una persona a regresar al trabajo o la escuela. Por lo tanto, estos formularios de "autocertificación" se proporcionan para permitir que las personas obtengan directamente la documentación necesaria.

El Departamento de Salud Pública del Condado de Sullivan alienta a aquellos que dan positivo por COVID-19 a aislarse y notificar a sus contactos cercanos que pueden haber estado expuestos. Sin embargo, debido a la cantidad extremadamente alta de casos, hemos determinado que el rastreo de contactos no brinda un apoyo significativo para reducir la propagación de COVID-19 en el condado de Sullivan en este momento, con la excepción de aquellos en entornos congregados como escuelas, centros de enfermería. hogares, hogares grupales e instalaciones de encarcelamiento. Por lo tanto, hemos descontinuado el rastreo de contactos de COVID-19 hasta que el Departamento de Salud del Estado de Nueva York indique lo contrario.

Cualquier persona que necesite proporcionar a una escuela o empleador evidencia documentada de su enfermedad y período de aislamiento podrá enviar los resultados de sus pruebas a Salud Pública y recibir su documentación a través de esta página.

¿Qué pasa si no puedo usar estos formularios?

Cualquier persona que no pueda completar estos formularios o enviar los resultados de sus pruebas electrónicamente puede comunicarse con la línea de información COVID de salud pública del condado de Sullivan al 845-513-2268 para obtener ayuda.

¿Qué debo hacer con mis formularios completos?

Puede proporcionar Afirmaciones de Aislamiento o Cuarentena completas a cualquier autoridad apropiada que las solicite (por ejemplo, un empleador o un distrito escolar). Como mínimo, asegúrese de guardar estos formularios en un lugar seguro en línea o físicamente, para recuperarlos en el futuro. No es necesario que proporcione una copia a Salud Pública en este momento.



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