Data entry form for contact persons of a person with COVID-19 infection

Have you had contact with a confirmed case of COVID-19 and would like to contact the Pankow Health Authority?
Then use the following form to contact the Pankow Health Office. By providing your complete data you will make the work of the health office staff easier. This way you support the quick follow-up of contact persons and help the Health office staff to react quickly and purposefully to possible new cases. Please note that an initial contact by individual mail to corona@ba-pankow.berlin.de cannot be processed.

By sending the form below, you are stating that you are a possible contact person at the Pankow Health Office. The Pankow Health Office is responsible for citizens with a registration address in Pankow (zur Seite des RKI) or with a predominant stay in Pankow. Please describe your contact to the positive tested person as precisely and in detail as possible and provide all the necessary information requested. This saves the staff a lot of work and enables the public health department to process the inquiries effectively.
The final classification into a contact person category will be made by employees of the health office. A quarantine can only be declared after the Health Department has classified you as a Category I contact person.

Category I contact person according to the contact categories of the RKI recommendations:
Cumulative at least 15 min. face-to-face contact, e.g. persons in direct conversation, direct body contact with secretions or body fluids or contact person was exposed to a high aerosol concentration regardless of the distance, e.g. celebrating, singing together or doing sports indoors without adequate ventilation.
Contact person category II according to contact categories of the RKI recommendations:
Less than 15 min. face-to-face contact, e.g. persons staying in the same room, no direct physical contact.

We thank you for your cooperation and wish you all the best!
Your health office Pankow