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COVID-19 Student Health Check - CREST

This form is for CREST students ONLY. If you are a faculty or staff member, please use the Faculty/Staff COVID-19 Health Check Form.

Please submit this form prior to beginning your class day. * All fields are required.

Please enter your name. Please enter an email. Invalid email. Please enter your program. Please select an item. Please select an item. Please select an item.
  • Cough
  • Shortness of breath
  • Troubled breathing
  • Fever
  • Chills
  • Muscle Pain
  • Headache
  • SoreThroat
  • Loss of taste and/or smell
Please select an item.

Patrick Massaro II, Director
CREST
SUNY Canton
34 Cornell Drive
Canton, NY 13617

Phone: 315-386-7838
Fax: 315-386-7945
massarop@canton.edu