Positive COVID Test Result
Please complete the following details as per DET requirements and thank you for your assistance.

Please ensure that once you have completed this form you report the positive case to DHS for further support.
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Your name *
Contact number *
email address *
Child's First and Last Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Class/ home group. e.g; 4AC or PAB *
Did they attend OSHC whilst possibly infectious? *
Symptoms *
Required
Symptoms Onset Date (if symptomatic)
MM
/
DD
/
YYYY
Test Type *
Date of positive test *
MM
/
DD
/
YYYY
Where they possibly at school whilst infectious? *
Exposed/ infect outside of school *
Please provide any further details that may be relevant.
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