Confirmed Coronavirus Case - Information Request
Please complete as much information as possible to support our Coronavirus response measures.
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Student's Full Name *
Student's Year Group *
Student's Form Group *
Name of person completing this form *
Contact telephone number for person completing this form *
Has the student tested positive on a lateral flow test (LFT). If yes, please confirm the date. If no, please leave blank.
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Has the student tested positive on a PCR test. If yes, please confirm the date. If no, please leave blank.
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Is the student exhibiting symptoms? If yes, please confirm the date of onset. If no, please leave blank.
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Please list all of the Parmiter's School students who your child is aware they had regular close contact with in the 48 hours prior to developing symptoms. If asymptomatic please use the date of the first positive test.
How does the student travel to and from school? If travel is via a school bus please please specify which route.
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