COVID Test Results Submission Form | Health & Wellness Center

Please complete the form below to submit your COVID test results to the Health and Wellness Center. A member of the staff will be in contact with you if next steps are required. Please reach out to the HealthCenter@trinitydc.edu if you have any questions.

COVID test result submission

This form is for members of the Trinity community to submit their test results to the Health and Wellness Center

Name(Required)

First Last

Date of Birth(Required)

Please provide your date of birth to confirm.

Trinity Status(Required)

Vaccination Status(Required)

Email(Required)

Phone(Required)

Date test results received(Required)

Please provide the date the test results were received.

Type of Covid Test administered(Required)

Please identify the type of test administered.

Date test taken(Required)

Please provide the date the test was administered.

Test Result Indication(Required)

Please identify the result of the test.

Covid 19 Test Results(Required)

Please provide an image of your test results so that all information is clear.

Drop files here or

Max. file size: 49 MB.

Acknowledgement(Required)

I understand

By checking this box, I acknowledge that all information submitted is accurate and truthful. I understand that people can test positive with COVID without any symptoms. If I am feeling unwell in any way, I will not come to campus, and will notify the health center immediately if I test positive, either by rapid test or PCR. I will respond to emails pertaining to my test case in a timely manner.