HPS Positive COVID Test Result Form

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Please complete all questions below and submit the form

Email *

What is your name? *

Name of child who tested positive: *

Child's D.O.B *

Type of test *

Rapid Antigen Test

PCR

Date of positive test result *

TTTT

When was your child last at school? *

TTTT

Which class is your child in? *

If your child participated in any extracurricular activities (eg. sport, Team Kids, after school activities), please specify what.

Are any other family members unwell or tested positive? *

Is there anything else we need to know? *

Salinan jawaban Anda akan dikirimkan melalui email ke alamat yang Anda berikan.

Kirim

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Formulir ini dibuat dalam Department of Education. Laporkan Penyalahgunaan