POSITIVE CORONAVIRUS (COVID-19) CASE REPORTING FORM
To ensure the continued safety of our school community and play our role in reducing the spread of the virus, schools are required to ensure parents are able to contact a senior member of staff to report a positive test result.

By completing this form, you will be informing the school of the positive test result within your household. This information will then be used to Track and Trace any school-based close contact and advise them to self-isolate, following advice received when reporting the case to the DfE and Hampshire Local Authority.

By sharing this information, we will be able to work together to limit the impact of the virus on our school community and wider families, as well as ensure the planning of a safe return to school in January.

Thank you

Mike Serridge
Headteacher
Email address *
1. Name (Person completing the form) *
2. Please supply your contact telephone number *
3. Name of student who attends Harrow Way Community School
4. Name of person who has received a positive test result *
5. Who has tested positive? *
6. Relationship to the Harrow Way Community School student/member of staff *
7. Date the symptoms first appeared (day, month, year) *
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8. Date of positive test result (day, month, year) *
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9. Names of student or staff "close contacts" outside of lessons; ie social contact with other students, including to and from school, and any other members of staff. A close ‘contact’ is a person who has been close to someone who has tested positive for COVID-19 anytime from 2 days before the person was symptomatic and up to 10 days from onset of symptoms. *
10. Please confirm you have informed NHS Test and Trace of non-school close contacts i.e. family and friends who do not attend Harrow Way Community School and members of your Christmas bubble. *
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