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My student has tested positive for Covid-19...
Please fill out this form if your child has already received a positive test result.
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* Indicates required question
E-mail
*
Your answer
Student's last name
*
Your answer
Student's first name
*
Your answer
Grade
*
Kindergarten
1st
2nd
3rd
4th
5th
Homeroom Teacher's Name
*
Choose
Not sure
Stewart ( K)
Peterson (Ki)
Stong (K)
Kubler (1st)
Vesper (1st)
Goldsmith (1st)
Coffman (2nd)
Jacobs (2nd)
Long (2nd)
Newsome (3rd)
Stephens (3rd)
Tindell (3rd)
Eason (4th)
McCarthy(4th)
Perry (4th)
Kernea (5th)
Ramos (5th)
Wyatt (5th)
Date symptoms began
*
MM
/
DD
/
YYYY
Please list symptoms:
*
Your answer
Date of test
*
MM
/
DD
/
YYYY
Facility where tested:
*
Your answer
Parent/Guardian's full name
*
Your answer
Phone number or email where we should contact you
*
Your answer
Best time of day to call
*
Morning
Afternoon
Evening
Have you already emailed a copy of your COVID test results to Nurse Marianna
mbrown@catoosa.k12.ga.us
? (If not, please do so at this time.) *
*
Yes
No
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