COVID POSITIVE TEST FORM FOR SANDBURG H.S
In an effort to best protect our District 230 Community, we appreciate you submitting information about your son or daughter's positive test for COVID-19. After submission, your school nurse will be in touch with you to review protocols moving forward.
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Student First Name *
Student Last Name *
Student ID Number *
Parent Name *
Relationship to Student (Mother, Father, Guardian etc) *
Parent Email *
Parent Phone Number *
Does your student ride the bus to/from school? *
If no, what form of transportation do they use?
Did your student who tested positive for COVID-19 have symptoms or were they asymptomatic? *
If symptomatic, when did your son/daughter develop COVID-19 symptoms?
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What was the date of your child's positive test? *
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Was your son/daughter in close contact with any other students from school?  This applies to contact in the 48 hours prior to him/her developing symptoms (if symptomatic), OR 48 hours prior to their positive test (if asymptomatic). *
Does your son/daughter have siblings at our school who live in the same house? *
Is your son/daughter involved in any school clubs, activities or athletic teams? *
If they attended any club, activities or athletic team event in the last 48 hours, please provide details.
Did your son/daughter participate in any other events or activities on campus in 48 hours prior to developing symptoms? *
If Yes, please provide details:
Did your son/daughter have a meeting with a faculty/staff member in the 48 hours prior to symptoms?  This includes a counselor, teacher or an administrator. *
If Yes, please provide details:
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