Test Results Reporting/Informe de resultados de prueba

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Please report your results.The data is stored securely and is shared with CalREDIE (the same as any lab-based COVID-19 test). GUSD does NOT share any personally identifying information. Submit a new form for each student./ Informe sus resultados. Los datos se almacenan de forma segura y se comparten con CalREDIE (al igual que cualquier prueba COVID-19 de laboratorio). GUSD NO comparte ninguna información de identificación personal. Envíe un formulario nuevo para cada alumno.

Name of Person Completing Form/Nombre de la persona que completa el formulario *

Student's Full Name/Nombre completo del estudiante *

Student's School Site/Sitio de la escuela del estudiante *

Results of Test on January 7, 2022/Resultados de la prueba del 7 de enero de 2022 *

Positive for COVID19/Positivo para COVID19

Negative for COVID19/Negativo para COVID19

Other:

Results of Test on January 9, 2022/Resultados de la prueba del 9 de enero de 2022 *

Positive for COVID19/Positivo para COVID19

Negative for COVID19/Negativo para COVID19

Other:

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