My student is showing signs of illness and needs a COVID-19 Test
This is a request for a testing appointment for your student that is having signs of illness. All testing is optional. The on demand tests are offered as a convenient and free solution to families who want to know if their student is positive or negative.  ***On demand testing is available  Mondays-Fridays, 9:30 am to 1:30pm by appointment only.  Please, complete this form and a nurse will contact you to schedule your testing appointment time. All on demand testing takes place at TMS 704 N. Nueces.  Please arrive on time and remain in your car and park in the first available numbered parking spot.
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Email *
Student First Name *
Student Last Name *
Student Date of Birth  *
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DD
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Name of school student attends *
Required
Student Grade *
Parent Name (first and last) *
Parent email *
Parent phone number *
Home address: Number, Street, City, ZIP  *
I understand if my student is ill or showing symptoms of COVID-19 they should remain at home and not be sent to school *
Reason for testing request (please check all that apply) *
Required
CCISD uses the SimpleReport to provide your students results (check all that apply) *
Required
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