HPHA COVID-19 Hotline Please contact HPHA right away if you, or a family member has tested positive for COVID-19. We are ready to provide vital assistance so that you can concentrate on recovery. Name * First Name Last Name Number of people in your household * 1 2 3 4 5 6 7 8 9 10 More Someone in my household has tested positive for COVID 19 * We are working with the Department of Health. We have not been contacted by the Department of Health yet. Someone in my household has been tested and we are waiting for results. If yes, click here Address * Additional information Please share any other information with HPHA which will help with the coordination of services. Email Phone * (###) ### #### By my signature below, I authorize HPHA to make any lawful inquiries and receive information regarding the status of my household as a positive COVID19 household or as a household who has been tested for COVID19 and are waiting for test results for the purpose of assisting HPHA and its staff with taking necessary precautions to protect the community from the potential spread within our property and community. These inquiries will not disclose the specific individual who tests/tested positive, unless I personally provide that information to the HPHA. I also authorize the HPHA to share and receive information on my household’s status with the DOH or other professionals working with the DOH to perform issue general precautions to my community, conduct outreach to inform the community of a household that has tested positive, conduct testing, perform wellness checks or medical services, coordinate the delivery of food, supplies or other supportive services, ensure quarantine, coordinate access to online banking services and other services. No information about any member of my household or my specific unit address will be provided to the residents or the public. * Thank you! Emergency COVID-19 Hotline: call or text 808/ 783-3770 COVID-19 email: hphacovid@hawaii.gov