The Governor of Rhode Island has requested this information be collected by the Rhode Island Department of Health (RIDOH). All information provided will be utilized by RIDOH to assist in the State’s response to the COVID-19 Pandemic. We appreciate your time. This information is needed as part of Governor Raimondo’s Executive Order 20-12 called "Quarantine Restrictions on Travelers from New York State" until at least April 25, 2020.

Click here to submit the COVID-19 New York Travel Screening Form