CMSD After Hours Positive COVID Reporting

This form is for reporting a positive COVID-19 test for a student when schools are closed. Please enter all information requested.

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* 1. Your email address

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* 2. Parent/Guardian Full Name

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* 3. Parent/Guardian Phone Number

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* 4. Parent/Guardian Cell Phone

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* 5. Student's Name

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* 6. Student's Grade

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* 7. Building

Clayton Huey Elementary

Middle School

High School

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* 8. Enter sibling's name(s) and/or the names of other school age children in the home

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* 9. Sibling's School(s)

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* 10. Date of Positive Test

Date

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* 11. What is the date of the onset of symptoms?

Date

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* 12. Where was the COVID-19 test administered (name of testing site and location)?

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* 13. What kind of test was administered?

PCR (Nasal Swab which typically takes 1 or more days for results to return from a lab)

Rapid (Nasal Swab which is tested on-site and takes hours for results to return)

Antibody (Blood test)

Unknown

CMSD After Hours Positive COVID Reporting

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* 1. Your email address

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* 2. Parent/Guardian Full Name

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* 3. Parent/Guardian Phone Number

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* 4. Parent/Guardian Cell Phone

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* 5. Student's Name

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* 6. Student's Grade

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* 7. Building

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* 8. Enter sibling's name(s) and/or the names of other school age children in the home

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* 9. Sibling's School(s)

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* 10. Date of Positive Test

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* 11. What is the date of the onset of symptoms?

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* 12. Where was the COVID-19 test administered (name of testing site and location)?

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* 13. What kind of test was administered?

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* 14. Comments: