COVID-19 Test Result Self Report
Please fill out this form to notify SCSD of a positive or negative COVID-19 test result (either a lab confirmed test or an over the counter home test). Fill out form once per student.

Please provide a parent/guardian email address & telephone number so the district can contact you if needed.
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Email *
Telephone Number *
Student Last Name *
Student First Name *
Student Grade Level *
Is Your Student Symptomatic? *
Lab Certified Test or Over the Counter Home Test? *
Was the test taken elsewhere (ex. urgent care) and needed to be sent away for lab confirmation or was it a rapid over the counter home test?
Test Result *
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