After Hours Presumptive/Positive/Close Contact COVID-19 Reporting Form
This form should be used if a parent or staff member needs to report presumptive or positive COVID 19 tests, or close-contact with someone who is positive after 4:00 PM during the week or at any time during the weekend. Once you complete the form, all members of the same household should quarantine until further instruction from the Iola ISD Exposure Team or the local health department.
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Email *
Staff/Student Last Name *
Staff/Student First Name *
Staff/Student Date of Birth *
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Report Type *
Test Date (if applicable)
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First Date with Symptoms (if applicable)
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Last date of Exposure (if applicable)
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YYYY
Campus *
Parent/Guardian First and Last Name *
Parent/Guardian Phone Number *
Does the student ride a bus? *
If yes, what is the bus number?
Does the student participate in clubs or extracurricular activities? *
If yes, what activities?
A copy of your responses will be emailed to the address you provided.
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