STUDENT COVID-19 Screening Form

*Note: COVID-19 Symptoms include:
Fever or chills	Cough
Shortness of breath or difficulty breathing	Fatigue
Muscle or body aches	Headache
New loss of taste or smell	Sore throat
Congestion or runny nose	Nausea or vomiting
Diarrhea

Student Services

Technology

Academics

Paying for College

Faculty and Staff Resources

Library

Main Campus

360 Choate Avenue
Buffalo, NY 14220-2094
716.826.1200
716.828.6107 Fax

Extension Center Trocaire Achievement Complex

6681 Transit Road
Williamsville, NY 14221
716.827.4300

Connect With Trocaire

Building Hours

Employment

Consumer Information

Non-Discrimination Policy | Title IX Resources

STUDENT COVID-19 Screening Form

STUDENT COVID-19 Screening Form

STOP! DO NOT ENTER CAMPUS OR ATTEND CLINICALS! PLEASE SUBMIT THIS FORM AND CONTACT YOUR PROGRAM DIRECTOR.

STOP! DO NOT ENTER CAMPUS OR ATTEND CLINICALS! PLEASE SUBMIT THIS FORM AND CONTACT YOUR PROGRAM DIRECTOR.

STOP! DO NOT ENTER CAMPUS OR ATTEND CLINICALS! PLEASE SUBMIT THIS FORM AND CONTACT YOUR PROGRAM DIRECTOR.

STOP! DO NOT ENTER CAMPUS OR ATTEND CLINICALS! PLEASE SUBMIT THIS FORM AND CONTACT YOUR PROGRAM DIRECTOR.