COVID-19: Self-Disclosure Form

Arcadia University maintains confidentiality for our community to report information about the number of confirmed COVID-19 cases among students and University employees on campus. This information only includes such cases that have been reported to the University through our health and safety and established reporting protocols.  

Using the Form

This form should be used by Arcadia students or employees (faculty and staff) who have tested positive for COVID-19 OR who have been identified as coming into close contact with someone who tested positive recently. Whether you are working from home or have been on campus, you should use this form accordingly. Submissions are considered confidential and will not be shared in detail.

I’m feeling sick. What do I do?

A quick reference guide. 

For Students For Employees  Questions or Concerns?
  1. Know the Symptoms
  2. Call Student Health Services to schedule a phone evaluation.  
  3. Did you test positive for COVID-19?
    - Fill out the Self-Disclosure Form
  1. Know the Symptoms
  2. Call your PCP.
  3. Did you test positive for COVID-19? 
    - Call your Supervisor. 
  4. Did you test positive for COVID-19, and you were recently on campus? Did someone in your home recently test positive?
    - Use the Self-Disclosure Form  
  • Have you been in close contact with someone positive?
  • I visited campus within 48 hours and tested positive. What should I do?
  • Someone in my home has COVID, what should I do?

Any Arcadia community member (students and employees) who have questions can contact


I’ve reported my positive test. What’s the next step?

Once you self report you will be contacted by a member of the Arcadia University Contact Tracing Team shortly. This team will help you trace your most recent movements and contact those who may need to be informed they have been exposed to COVID-19. 



Anyone who tests positive for COVID-19 and has been on campus puts our community at risk for exposure. As per our health and safety guidelines and those from the Pennsylvania Department of Health and Centers for Disease Control and Prevention, you must isolate yourself if you test positive. You may be contacted by a member of Arcadia’s contact tracing team and asked to self-quarantine.  Thank you for helping our community remain #ArcadiaStrong and stopping the spread of COVID-19. 


Contact Type:

Residency type:

What are you reporting?:

Where were you tested:
Date of your test:
Test Results:

Are you fully vaccinated against COVID?:

Have you had a COVID Booster vaccine?:

Questions or Concerns?:


Contact Information

Any Arcadia community member (students and employees) who have questions can contact