EDUHSD COVID-19 Reporting Form

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Please fill out this form if any of the following applies:
-Your child recently tested positive for COVID-19
-There is a positive individual that resides in the home
-Your child was exposed to a positive individual outside of the home.
** If your child was exposed to a positive individual in the home or community, and your child is fully vaccinated and remains asymptomatic, they DO NOT need to quarantine and may return to school.

Name of Person Completing the Form *

Phone Number *

Name of Student *

Reason for Report *

Child is positive with COVID-19

Child lives in the home with a COVID-19 positive individual

Child was exposed to a known positive outside of the home

Other:

Required

High School Your Child Attends *

El Dorado High School

Independence High School

Oak Ridge High School

Ponderosa High School

Union Mine High School

Virtual Academy

Other:

Required

Grade

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