PHS Student Online COVID-19 Illness Reporting Form

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The safety of our students and employees is our priority. In order to prevent the spread of the COVID-19 and reduce the potential risk of exposure to our students and workforce, we are asking everyone to report your child's COVID-19 illness by completing this form. Your participation is important to help us take precautionary measures to protect you, other students, and our staff.

*Please follow the guidance and instructions given at the end of the questionnaire. PLEASE PROVIDE PARENT/GUARDIAN EMAIL BELOW.

La seguridad de nuestros estudiantes y empleados es nuestra prioridad. Con el fin de prevenir la propagación de la COVID-19 y reducir el riesgo potencial de exposición de nuestros estudiantes y trabajadores, les pedimos a todos que informen la enfermedad de COVID-19 de su hijo completando este formulario. Su participación es importante para ayudarnos a tomar medidas de precaución para protegerlo a usted, a otros estudiantes y a nuestro personal.

*Por favor siga la guía e instrucciones dadas al final del cuestionario. PROPORCIONE EL CORREO ELECTRÓNICO DEL PADRE/TUTOR A CONTINUACIÓN.

Email *

The following are a list of COVID-19 symptoms. Please continue if these are not normal for your child.

Parent/guardian's name/Nombre del padre/tutor *

Parent/guardian's cell phone number/Número de teléfono celular del padre/tutor *

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