Bethel Park School District - Positive Covid Test Report
This form is for reporting a positive Covid-19 case that has been confirmed through testing.   A separate form is to be used for reporting close contacts.   Please complete this form separately for each positive case if submitting for more than one student.

If you are a staff member submitting results with this form, please write N/A for fields that would only pertain to students and substitute "you" for questions that ask for information about "your student".
Iniciar sesión en Google para guardar lo que llevas hecho. Más información
Correo *
Parent's Full Name *
Or Staff Member's Full Name if submitting as a staff.
Student's First Name *
Student's Last Name *
Student ID Number
If you do not know your student's ID number please leave this blank.
Student's School Building *
What was the last date your child attended school in  person? *
DD
/
MM
/
AAAA
Siguiente
Borrar formulario
Nunca envíes contraseñas a través de Formularios de Google.
Este formulario se creó en Bethel Park School District. Denunciar abuso
Google Formularios