TCCS Student Covid-19 Positive Report
Parents: Please complete the following information to let the school know if your student has tested positive for Covid-19. If there is any documentation to share (copy of test results, etc.), please email them to nurse@tccsnj.org.

Once this form is submitted, someone from the school will follow up soon after to provide instructions and/or ask for additional information.

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Email *
Student Name *
Student Grade *
Positive Covid Test Date *
Please advise the date that the test was administered.
MM
/
DD
/
YYYY
Date of Symptom Onset (if applicable)
Please advise the date that the student began to show symptoms. If they are asymptomatic, please skip this question.
MM
/
DD
/
YYYY
Last date in School *
Please advise the last date that the student was in school prior to this positive diagnosis.
MM
/
DD
/
YYYY
Comments (optional)
Please provide any additional comments or relevant information that you would like to share.
Person Completing Form and Relation *
Please enter the name of the person completing this form and your relation to the student.
A copy of your responses will be emailed to the address you provided.
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