Form to Report a Positive Test Result

If you have tested positive, either through an at-home test or a test at your doctor's office, hospital, urgent care or other clinic, New York State Department of Health requires you to isolate for at least 5 days from your onset of symptoms, or from the date of your test if you had no symptoms. If you are eligible for release after the 5-day isolation period, you should continue to wear a mask around others for 5 more days to reduce the risk of infecting others. 

You will receive your isolation order via email after you complete the below form. Once you have submitted the form please check out the Instructions for COVID-19 Positive Individuals..  

Madison County is strongly committed to protecting personal information collected through this website against unauthorized access, use or disclosure. Consequently, Madison County limits employee access to personal information collected through this website to only those employees who need access to the information in the performance of their official duties. Employees who have access to this information follow appropriate procedures in connection with any disclosures of personal information. In addition, Madison County has implemented procedures to safeguard the integrity of its information technology assets, including, but not limited to, authentication, monitoring, auditing, and encryption. These security procedures have been integrated into the design, implementation, and day-to-day operations of this website as part of our continuing commitment to the security of electronic content as well as the electronic transmission of information.

Madison County may collect or disclose personal information without consent if the collection or disclosure is: (1) necessary to perform the statutory duties of the Madison County Public Health, or necessary for Madison County Public Health to operate a program authorized by law, or authorized by state or federal statute or regulation; (2) made pursuant to a court order or by law; (3) for the purpose of validating the identity of the user; or (4) of information to be used solely for statistical purposes that is in a form that cannot be used to identify any particular person.