My student is awaiting test results for Covid-19...
Please fill out this form if your student has been tested for Covid-19 and is awaiting the result.
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E-mail *
Student's last name *
Student's first name *
Grade *
Homeroom Teacher's Name *
Date symptoms began *
MM
/
DD
/
YYYY
Please list symptoms: *
Date of test *
MM
/
DD
/
YYYY
Facility where tested: *
Expected date of test results *
MM
/
DD
/
YYYY
Parent/Guardian's full name *
Phone number or email where we should contact you *
Best time of day to call *
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