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Rapid Test Results
Please complete the form below each Monday for the previous weeks rapid test usage and results. Weeks where no tests are used must still be reported.
Name of Organization
Reporting Period End Date
Format: M/d/yyyy
Reporting is done for the previous week and should include all tests administered from start of Sunday through the end of Saturday. Please select the Saturday for the end of the Reporting week.
Number of rapid tests conducted
# of NEGATIVE test results
# of POSITIVE test results
# of inconclusive test results