Thank you in advance for providing this information.

This report is for all MUSC care team members, providers, faculty, staff, and students affiliated with MUSC / MUSC Health across all locations to self-report epidemiologically significant infections. By providing this information, you enable us to follow up with you to determine if you had high-risk contact with any patients or care team members while at work or school. All hospitals and labs are required by state law to report positive tests to DHEC, who may in turn request follow-up information from the individual or the health system. We will keep this information as confidential as possible. The information you provide will not be used for any disciplinary or peer review purposes- so please answer honestly.

The information you provide will also be used for the purposes of federal reporting to OSHA, that is your answers will be used to help determine if your infection was linked to any exposures that occurred during work-related or school-related activities at MUSC Health.

This form will take you 5-15 minutes to complete. Please complete this survey within 12 hours of receipt.

Thank you in advance for helping to keep your colleagues and patients safe!

The MUSC Contact Tracing Team

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