COVID-19 Antigen Test Results Form
 Please complete this form when you test POSITIVE on a DESE/LPS issued At Home Rapid Antigen COVID-19 test. Please put your POSITIVE test results into this google form by 9:00 AM on Tuesday mornings.

Until otherwise noted, if a student or staff member tests positive, they will be in isolation for a minimum of five (5) days. Individuals (both students and staff) who test positive for COVID-19, may return to school on day 6 -  
After 5 full days of isolation and meets the following criteria: :
- Have been fever free for 24 hours without the use of fever reducing medication
- Experienced improvement in symptoms

Individuals must wear a mask for 5 additional days, except when actively eating, drinking or outside - through day 10

Your child's school nurse will reach out to you within the next 24-48 hours. There is no need to report NEGATIVE results. Thank you!
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Email *
Last Name *
Legal First Name *
Child's Date of Birth
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School your child attends *
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Date rapid antigen test administered *
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Test Result *
Has your child ever tested positive for COVID-19 prior to this test?
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Date of last previous COVID-19 positive test, if your child has had a  prior positive test.
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