Report a COVID-19 Case
Parents of PK-12 students, please complete this form and also contact your child's coach or sponsor if they are in 7-12 grade extra-curricular activities.
Name & phone number of person making this report
Student's Last Name
Student's First Name
Building Student Attends
Grade Level & Teacher if PK-5 student
Exposed to a positive case in the household
Exposed to a positive case outside the home
Date of Test or Exposure
Student has the following symptoms
Loss of taste or smell
Date of Return provided by Doctor or Public Health
Names & grades of other children in the home that attend KCSD schools.
Please share any other information that would be helpful or questions.
Would you like a call from KCSD Nurse, Angie Mitchell after the holidays?
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This form was created inside of Knoxville Schools.