FROST Registration and Reporting

FROST Program

The First Responder Optional Screening Test program (FROST) enables routine COVID-19 screening for first responders (police, fire and emergency medical services [EMS]) working in the state of New Hampshire (NH) who are at higher risk than the general population because of their routine community interactions. FROST aims to identify asymptomatic individuals with COVID-19.

Would you like to register or report test results?
- Registration
- Reporting
Registration
Name of primary agency:*
Primary Agency Address:*
Street Address City State ZIP Code
CLIA Number:*
Primary agency signatory name:*
Primary agency signatory phone number:*
Primary agency signatory email:*
Please list any secondary agencies you are providing testing for?
By selecting I Agree below, I attest that the licensed unit identified in this application will follow all guidance as outlined within the “First Responder Optional Screening Testing (FROST) Program Master Planning Document” and that by failing to do so will prohibit the Unit from participating in the program.*
Reporting
Selected month for reporting results:*
Primary agency results for selected month:
Name of primary agency:*
Primary Agency Address:*
Street Address City State ZIP Code
CLIA Number:*
Primary agency email:*
Primary agency results:*
Fire POSITIVE Fire NEGATIVE Police POSITIVE Police NEGATIVE EMS Only POSITIVE EMS Only NEGATIVE
Secondary agency results for selected month:
Secondary agency results:
Secondary Agency Name Fire POSITIVE Fire NEGATIVE Police POSITIVE Police NEGATIVE EMS Only POSITIVE EMS Only NEGATIVE

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FROST Program

Registration

Reporting

Primary agency results for selected month:

Secondary agency results for selected month:

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Fire POSITIVE	Fire NEGATIVE	Police POSITIVE	Police NEGATIVE	EMS Only POSITIVE	EMS Only NEGATIVE

Secondary Agency Name	Fire POSITIVE	Fire NEGATIVE	Police POSITIVE	Police NEGATIVE	EMS Only POSITIVE	EMS Only NEGATIVE