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Student Report of a Positive COVID Test
Please complete the following information as fully as possible. If the student has a positive COVID test, someone will contact you within the next 24-48 hours to complete the contact tracing process.
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* Indicates required question
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Student's Nickname, if different
Your answer
Best Contact Number for the Next 24-48 Hours
*
Your answer
Alternative Contact Number for the Next 24-48 Hours
Your answer
Campus
*
Choose
Bee Cave Elem
Lake Pointe Elem
Lake Travis Elem
Lakeway Elem
Rough Hollow Elem
Serene Hills Elem
West Cypress Hills Elem
Bee Cave Middle
Hudson Bend Middle
Lake Travis Middle
Lake Travis High
Student's Grade Level
*
Your answer
I had a lab-confirmed COVID positive test on (date):
*
MM
/
DD
/
YYYY
I received results of my test on (date):
*
MM
/
DD
/
YYYY
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