Reporting a positive Covid test result
Please use this form to report a positive Covid test result for students at Queen Mary's High School
* Required
Email address
*
Your email
Time the Covid swab test was taken
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Time
:
AM
PM
If your child has had symptoms when did they start?
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DD
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Name of person completing the form
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Your answer
Contact number
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Your answer
Form Group
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Your answer
When was your child last in school?
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MM
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DD
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List the full names of any student with whom you believe you child has been in 'close contact' during social time (before school, break, lunch, after school) in the the last two days that they attended school. A close contact is a person with whom the confirmed case has had face-to-face contact (within one metre), or contact within one metre for one minute or longer without face-to-face contact, or a person who has been within two metres for more than 15 minutes.
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Your answer
How does your child travel to school?
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On foot
The Green Bus
Public transport
Taxi
Private car
Train
Other:
Date of the positive Covid test result
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MM
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DD
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What symptoms were experienced?
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Persistent cough
High temperature
Loss of taste or smell
Headache
None
Other:
Required
Relationship to the positive COVID case
*
Your answer
Student Name
*
Your answer
Date the Covid swab test was taken
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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