Positive Test Reporting or Household Close Contact Reporting -
A student or staff member is reporting a positive case of COVID or have been exposed to someone with COVID.
Student or Staff Name *
Parent/Guardian Name
Phone number *
Email address
Date of Birth *
MM
/
DD
/
YYYY
Grade *
School *
Are you reporting a positive Covid test result ? *
Next
Never submit passwords through Google Forms.
This form was created inside of Meigs County Schools. Report Abuse