Are you a community member in the Western Cape who has tested positive for COVID-19?

If so, please fill out the following to inform CSO, so that we can monitor the impact of COVID-19 on our community, and assist us in deploying resources to where help is needed most.  You can remain anonymous, or alternatively enter your contact details and we will check-in with you as to what support we can provide. This form does not replace any Government processes, but rather is in addition to these protocols.

 
 

Verification

 

Please note this data will be secured, access restricted and kept strictly confidential.  The information gathered will be solely used for the purpose of tracking COVID-19 community cases in the Western Cape to assist CSO with the deployment of resources to where help is needed most.

Access to the data will be restricted to key personnel only.

The data will be destroyed once the COVID-19 pandemic in South Africa has subsided and there is no longer a need to track community cases.  If you would like your submission to be deleted, kindly call us on 087 820 4949 to request the deletion.

IF YOUR SYMPTOMS WORSEN, PLEASE CALL US IMMEDIATELY:

24HR CAPE TOWN EMERGENCY

086 18 911 18