ST BRIGID'S RESPIRATORY SYMPTOM REPORTING
Please fill in this form when your child presents with any respiratory illness
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Name of student / staff member presenting with respiratory symptoms
Name of parent / staff member completing the form
Parent / staff member contact mobile number
What class is your child in or are you a staff member?
What are the symptoms? (even mild ones)
Runny or stuffy nose
Aches and pains
Shortness of breath
No symptoms, precautionary
What date did your child / you experience the first symptoms?.
Have you been to the GP?
Yes requested by GP
Yes parent decision
Yes staff decision
When is the COVID-19 Test?
ONCE YOU HAVE RECEIVED THE TEST RESULT PLEASE TEXT THE SCREEN SHOT OF THE RESULTS TO THE FOLLOWING MOBILE NUMBER 0426 616 500. THIS MUST BE DONE AS SOON AS THE RESULTS ARE RECEIVED AND BEFORE THE CHILD/ STAFF MEMBER RETURNS TO SCHOOL
YES I UNDERSTAND
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This form was created inside of Catholic Education Office, Diocese of Wollongong.