Laurens 56--Self Reporting of Positive COVID-19 Case
Please complete this form if your child has received Positive COVID-19 test results from the doctor or another testing location. Someone from the school district will follow up with you. We appreciate you sharing this information so that we can identify close contacts in the school and continue keeping students and staff safe.

Please make sure that your child stays home from school and any other activities until their isolation period ends. The school nurse or another district official will be in contact to discuss returning to school.
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Email *
Student's Full Name *
Student's School *
Student's Date of Birth *
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Student's Address *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
Date Tested for COVID-19 *
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Where was your child tested? *
What symptoms does your child have? *
When did symptoms start? *
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How does your child get to school? *
How does your child get home from school? *
Please list any sports, clubs, or extracurricular activities your child participates in while at school. *
Please list any other children who live in the home or that the child has been around two days before they started feeling bad or were tested? *
Any other information that you would like for us to know?
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