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If you have a question about a specific patient, please call Infection Prevention at 212.606.1235. Do not use this form.

Please make sure you have reviewed the guide. If you do not see your question answered, please complete and submit this secure form. Every effort will be made to respond to your question within one business day.

1. Contact Information *This question is required.

First Name *This question is required.

Last Name *This question is required.

Phone *This question is required.

Email *This question is required. This question requires a valid email address.

2. What is the topic of your question? *This question is required.

3. Do you want to inform HSS about upcoming international travel?

3. Please provide the following

Employee Name
Manager Name
Department
Travel Countries
Travel Start Date
Travel End Date
Countries you will be transiting through (i.e. layovers)

3. What is your question? *This question is required.