Reporting a student who has COVID-19
Please complete and submit this form for each student who has received a positive lab result for COVID-19. This information will remain confidential, and will assist our school nursing staff in determining if other students or adults may have been exposed. You may be contacted by a registered nurse from the School District.
Even if the student was not present in school before they showed symptoms or began an isolation period at home, please let us know if they have tested positive so that our health and attendance records are complete.
* Required
Email address
*
Your email
School
*
What school does your child attend?
Choose
Atlas
Borah
Bryan
Canfield
CDA Early Learning Center
CHS
Dalton
Fernan
Hayden Meadows
LCHS
Lakes
NExA
Ramsey
Skyway
Sorensen
Venture
Winton
Woodland
eSchool
Student
*
First and last name of student
Your answer
Date of Birth
*
Student's date of birth
MM
/
DD
/
YYYY
Grade
*
Student's grade level
Your answer
Parent
*
Parent's first and last name or person submitting this form
Your answer
Phone Number
*
Phone number of parent or person submitting this form
Your answer
Date student was tested
*
MM
/
DD
/
YYYY
Household Members
*
Are any other household members part of the Coeur d'Alene School District?
Yes
No
Notes
Is there anything else you believe we should know, including the names of any siblings or household members, if part of the Coeur d'Alene School District?
Your answer
A copy of your responses will be emailed to the address you provided.
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