COVID Contact Form
To be completed during telephone conversation with parent regarding any concern or query relating to COVID
Child's name / Staff Name *
Child's class *
Parental concern/query *
Details relating to any symptoms, any other children in family - when did concern arise (dates) / who is affected / is there guidance from PHE or 119 / any other important detail?
Does this person require a call back? *
Does SLT need to be made aware of this beyond the recording of this form on spreadsheet?
Clear selection
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