COVID-19 Self-Reporting
Purpose: Self-Reporting Platform for parents and guardians to inform HCSD about possible COVID cases or exposures.
Email address *
Enter today's date: *
Name of individual making the report: *
Relationship to the student *
Which school does the student attend? *
Full NAME of the potentially affected student *
What was the last date that the child was at school?
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Type of COVID-19 Report *
If COVID-19 Positive Report, what date did the student take the COVID test?
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If COVID-19 Postive Report, what date did the student receive results from the COVID test?
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Class(es)/Activities Student Attended in the last 48 hours (Please include the Teacher's/Sponsor's Name and Room Number or Location)
Has the student ridden on a HCSD bus in the past 48 hours?
Clear selection
If they have ridden the bus, what is student's bus number or bus driver's name?
Has the student ridden in a car with someone other than a family member in the past 48 hours?
Clear selection
If the student is a car rider, with whom does student ride to school?
Does student have a parent or sibling(s) in another Harris County building/ school?
Clear selection
If Yes to previous question, list the name(s) and school(s) of sibling(s).
A copy of your responses will be emailed to the address you provided.
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