ISD624 COVID-19 Diagnosis Reporting Form
In order to facilitate the district’s COVID-19 contact tracing, please let us know through this form if you have been diagnosed with COVID-19. Please also call your school’s attendance line (for students) or submit an absence in Skyward (for staff) if you have been diagnosed with COVID-19.
VERSIÓN en ESPAÑOL: https://docs.google.com/forms/d/e/1FAIpQLSfBOlY29qfG282z3aL0Y21Toierw0zPaAx4dg-t65yrviaEDA/viewform?gxids=7628
The person who received the diagnosis is: *
What school building do you (or the person) primarily go to or work in? *
Your (or the person being reported about's) name? *
Your phone number *
Your email address *
When did symptoms begin?
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Have you been notified of a close-contact exposure to another positive case from White Bear Lake Area Schools in the last 14 days?
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