DHS Weekly COVID-19 Testing
Complete this form to indicate whether or not your child will participate in weekly testing at Decatur High School. Register and provide consent with the testing company using the link in the next to last item. If you have any questions, contact Wes Hatfield (whatfield@csdecatur.net).
Sign in to Google to save your progress. Learn more
Parent/Guardian's name *
Parent/Guardian's Email *
Student's Last Name *
Student's First Name *
Student's date of birth *
MM
/
DD
/
YYYY
Student's School ID Number (A.K.A. their lunch number.  Please ask your student if you're not sure.  Not required, but helpful for communicating with you.)
I consent for my child to participate in weekly testing at Decatur High School *
Final registration step
The final step in the registration process is to use the link below to register with Mako Medical. Registering through this link must be completed before your child can participate in school-based weekly testing. Please note, if you have participated in testing at the Wilson Center, you must fill out the link in this form to participate in school-based testing.

https://schools.coquihealth.com/registration/45345bfc-00c3-41bb-bdda-82fe4441deaa


I have completed registration through Mako's website using the link in the previous question *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of City Schools of Decatur. Report Abuse