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If You Test Positive for COVID-19

When to Isolate

Regardless of vaccination status, you should isolate from others when you have COVID-19. The CDC recommends you stay home for at least 5 days and isolate from others in your home. You are likely most infectious during these first 5 days.

If your results are positive, follow the full isolation recommendations below. If your results are negative, you can end your isolation.

When you have COVID-19, isolation is counted in days, as follows:

If you had no symptoms

If you had symptoms

  • Day 0 is the day you tested (not the day you received your positive test result)
  • Day 0 is the day of symptom onset, regardless of when you tested positive
  • Day 1 is the first full day following the day you were tested
  • Day 1 is the first full day after the day your symptoms started
  • If you develop symptoms within 10 days of when you tested, the clock restarts at day 0 on the day of symptom onset

If you had moderate or severe illness due to COVID-19, or you have a weakened immune system, you need to isolate through day 10.

Test to Treat

For those that test positive for COVID-19 oral and IV antivirals or IV monoclonal antibodies treatments have been found to be an effective option for tackling the virus right away, giving your body extra time to make its own antibodies. Some include, Paxlovid, Remdesivir, Molnupiravir and Bebtelovimab. These treatments are most effective within the first few days of symptoms starting and are especially important for those at high risk of developing severe COVID-19 symptoms. 

Dutchess County continues to partner with PulseMD Urgent Care to offer “Test to Treat” which provides rapid telehealth appointments for residents whose provider-performed COVID-19 returns a positive result, who do not have a primary care physician or have had difficulty setting up an appointment with their primary care physician. During the online appointment, the provider will discuss treatment options and the criteria required to receive them. Based on a resident’s assessment, they may be eligible for antiviral medication or monoclonal antibody treatments. Virtual appointments can be made online with PulseMD Urgent Care at

 In addition, New York State has launched a free 24/7 hotline for those who test positive for COVID-19, but don’t have a health care provider. Callers will be connected to experienced professionals from NYC Health + Hospitals who have the clinical training to prescribe treatment and referrals if needed. Dutchess County residents who test COVID-19 positive can utilize this hotline regardless of income or health insurance coverage and are eligible to be evaluated for treatment by calling 888-TREAT-NY (888-873-2869).


If You Were Exposed to Someone Who is Positive for COVID-19

Current CDC recommendations for exposure. 

Reporting At-Home Positive Test

Letter of Isolation/Release from Quarantine

If needed for work or school, you can obtain a New York State Isolation and Affirmation Forms. These New York State forms may be used as if it were an individual Order for Isolation issued by the New York State Health Commissioner or County Commissioner. The Attestation Form will contain your start and end date, as you indicate, based on your particular circumstances, in accordance with Guidance from the New York State Department of Health.