In a survey of Critical Access Hospital (CAH) CEOs in eight states, 90% of respondents replied that they partnered with local public health agencies for their COVID-19 response, and described a wide variety of partnership activities. Activities with local public health departments included communication (e.g. weekly or daily calls, public facing communications), community partnerships outside of local public health (with long term care facilities, county staff, and others), and COVID-19 testing. Thirty-nine percent of respondents reported receiving support from their State Flex Program, with financial support as the most commonly mentioned type.