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Hochstein COVID-19 Questionnaire

According to New York State guidelines, ALL individuals are required to complete a health questionnaire EACH DAY that they enter the Hochstein or DUPC building. All forms must be completed on the DAY OF your visit.

Please be sure that ALL members of your party are included on a form, even if you need to complete a Student Household form AND a Guest form to include everyone. If your form indicates that you or your party cannot enter the building today, please STAY HOME and call the front office immediately at 585-454-4596. 

PLEASE NOTE: Additional information for next steps, IF your form indicates you cannot enter our building, can be found at the bottom of this page. 

Thank you for doing your part to keep us all safe!


Please select the appropriate form(s) below: (click on the button to access the form!)


To be completed by:

Hochstein Faculty

Hochstein Staff


To be completed by:

Hochstein students AND those who live in the student's household


To be completed by:

Non-household adults accompanying a student

Expressive Arts caregivers and/or support staff




Oh NO! My form says I cannot come in today. What do I do now?
Stay calm! COVID-19 is no joking matter but we are here to help. We have additional information for you.
If you are a Hochstein employee - click here
If you are a student - click here 
If you are a guest - click here


Letters updated as of 5-13-21