2021-22 Terrell ISD COVID-19 Student Health Reporting Form (effective 8/2/2021)
Please complete the form with as much information as possible.
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Email *
Name of person completing form. *
Last Name of Student confirmed positive with COVID-19 or with positive household member *
First Name of Student confirmed positive with COVID-19 or with positive household member *
Department/Campus *
Student ID *
What is the student's grade level? *
Student Telephone Number *
Does the student have siblings enrolled in TISD or live with TISD staff members? If so, what are their names and campuses? *
Has the student tested positive for COVID-19? *
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