All persons coming to the Columbia College campus needs to complete and submit this form. Completion of this form indicates your consent to share information collected about you with Columbia College Health Services, YCCD, and the Tuolumne County Public Health Department to manage COVID-19 cases, including contact tracing in the case of positive cases from our campus. If you have questions about why you are providing this information, please contact Laureen Campana NP, Coordinator of Health Services at firstname.lastname@example.org or (209) 588-5204.
To be completed THE DAY you plan to come to campus.
DO NOT complete for days in the future.