LINN COUNTY, IOWA COVID-19 INVESTIGATION FORM

1. Introduction

Confirmed cases of COVID-19 continue to increase in Linn County. The increase in cases in a short period of time is straining local contact tracing resources, and resulting in delays in the traditional contact tracing process. Contact tracing focuses on contacting individuals that are confirmed to have COVID-19, providing education, and notifying close contacts that have potentially been exposed to the virus that causes COVID-19. Completing this online investigation form will improve efficiency of contact tracing efforts by Linn County Public Health.

The individual that is confirmed to have COVID-19 is referred to as the case throughout this form. This form is only to be used by residents of Linn County, Iowa.

Question Title

* 1. First Name of Case

Question Title

* 2. Last Name of Case

Question Title

* 3. Case Contact Information

Address *

City *

State *

Zip *

County *

Email Address

Phone Number *

LINN COUNTY, IOWA COVID-19 INVESTIGATION FORM

1. Introduction

Question Title

* 1. First Name of Case

Question Title

* 2. Last Name of Case

Question Title

* 3. Case Contact Information

Question Title

* 4. Date positive COVID-19 test was collected