Please fill in this form when your child presents with any respiratory illness. In addition to this form, if your child tests POSITIVE, please also phone or email the school office as soon as possible after recording the result with NSW Health. The school email address will be monitored 7 days a week. If your child is a household/close contact, please administer a RA test and ring the school before sending them to school.
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Name of Student *
Student's Class *
Do they have respiratory / cold-like symptoms? *
What are the symptoms? (even mild ones) *
Which COVID-19 test has been done? *
What date did your child have the RA test or PCR test? *
Result of the COVID-19 Test *
If your child is a household/close contact and does not have any symptoms and tested NEGATIVE on a RA test do you intend on sending them to school? *
I acknowledge that if I send my child to school as a household/close contact that they must wear a mask and test negative on a RAT for 5 consecutive school days *
'If your child tested POSITIVE, what is the earliest date that NSW Health directives permit your child to leave isolation in the absence of ongoing respiratory symptoms?  (write n/a if the test was negative). *
I acknowledge that my child MUST NOT return to school if they still have the mildest of respiratory symptoms, even if they have tested negative. *
I acknowledge that I have informed the school that my child has tested positive or is a household/close contact. *
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