If you are a Grenadian National in the Diaspora and you have tested positive for, or know of a Grenadian National in the Diaspora who has succumbed to coronavirus (COVID-19), please use the form below to submit the requested information and assist the Ministry of Health in updating their records.

* Patient's Name

First

Last

* Patient's Age

* Patient's Gender

Male

Female

Patient's Phone Number

Patient's Email

* Patient's Medical Status Home Isolation Hospitalized Deceased

* Patient's Location

City, State/Country

* Patient's Home Parish in Grenada

Saint Andrew

Saint David

Saint George

Saint John

Saint Mark

Saint Patrick

Carriacou & Petite Martinique

Patient's Next of Kin / Emergency Contact

Please include name, relation, phone number, and any other information you have.

*

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