COVID Positive Reporting Form for Students
Please complete this form ONLY IF your student recently tested positive for COVID-19. After completing the form, your school's nurse will contact you by the next school day to discuss a date for your student’s return to school.

Information submitted on this form is private and only viewable by your school's nurse.
Student's First Name *
Student's Last Name *
School your student attends *
Student's Grade *
Date when your student first showed symptoms *
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Date of positive COVID test *
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Your Name *
Your Phone Number *
Your Email Address *
Submit
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