Interboro SD COVID - 19 Notification for Positive/Symptomatic Cases  

For the team to evaluate all COVID -19 student cases and ensure that we contact parents that need additional guidance, we are asking parents to complete this form. A school nursing team member will only contact you if your information has been reviewed and does not align with quarantine/isolation protocols.

Please complete the form in it's entirety.

A separate form must be completed for each child within your household.

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Email *
Student's Last Name *
Students First Name *
School Building *
Required
Grade *
Required
Parent Completing this Form *
Parent/Guardian Phone Information *
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