COVID-19 Staff Vaccine/Testing Form

The New York State Health Commissioner has issued a weekly COVID-19 testing requirement for all school employees. Staff who are fully vaccinated can be exempt from the weekly testing requirement. Please complete this form to submit proof of vaccination or to indicate that you will be submitting weekly proof of COVID-19 testing, once required.

All information collected will remain confidential. Employees who need to submit weekly testing will receive further instructions.

Select the survey below for the building that you spend the most amount of time in.  You will need to login with your Mt. Sinai issued Google account.

** If submitting proof of vaccination, completing the survey on your phone is the easiest way to upload a copy of your vaccination card. Click here for directions on how to do this.