COVID IMPACT REPORT                                                                              Please complete this form if you (student or employee) have tested positive for COVID or have been exposed to a COVID positive individual
It is very important for Fairfield City Schools to document all positive COVID cases and exposures that impact our students, faculty and staff. The information has to be reported to the Alabama Department of Public Health  and it helps our Superintendent make informed decisions regarding virtual instruction.

As of January 4, 2022, we require: (1) masks be worn inside all buildings/buses and social distancing (2) After receiving a positive test result, individuals MUST ISOLATE for at least 5 days. Individuals may return to work/school after the fifth day if they are fever-free and symptom-free for at least 24 hours without the use of fever-reducing medication. A negative test result is not required to return, however, students and employees  returning after five days must be on a strict mask wearing mandate for five additional days. You should also  email your positive test result to zodoms@fairfieldk12.org. (3) If you were exposed to a COVID positive individual, you MUST QUARANTINE for five days after the last day of contact if you HAVE NOT BEEN VACCINATED. If you HAVE BEEN vaccinated and come in contact with a COVID positive individual, you DO NOT have to quarantine if you are symptom-free, however, you must complete a consent form for us to view your vaccination form. Email the completed form along with the vaccination card to zodoms@fairfieldk12.org before you continue to come to work or school.  Be sure to watch for symptoms after exposure. If symptoms develop, you should consult your medical professional for next steps and isolate for five days.  You may return to school/work after five days if you are symptom-free and fever-free for at least 24 hours without the use of fever-reducing medication.  A negative test result is not required to return after being exposed.

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Email *
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Full name *
Address
Date of Birth (XX-XX-XXXX)
Phone number (in case we have additional questions for the report)
Which school do you attend or work?
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Are you a student or employee? Students should also enter their grade and homeroom teacher's name below
If you (student or employee) have tested positive for COVID, please enter the date you tested positive AND email a copy of the positive test result to zodoms@fairfieldk12.org          You must isolate for 5 days and make sure you are fever/symptom free without taking fever-reducing medication before returning.  Please note that you will be under strict mask wearing for an additional five days.
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 If you were exposed to a COVID positive individual, enter the last date you were EXPOSED to them. Please note that you MUST QUARANTINE for five days after the last day of contact if you HAVE NOT BEEN VACCINATED. If you HAVE BEEN vaccinated and come in contact with a COVID positive individual, you DO NOT have to quarantine if you are symptom-free, however, you must complete a consent form for us to view your vaccination form. Email the completed form along with the vaccination card to zodoms@fairfieldk12.org before you continue to come to work or school.  Be sure to watch for symptoms after exposure. If symptoms develop, you should consult your medical professional for next steps and isolate for five days.  You may return to school/work after five days if you are symptom-free and fever-free for at least 24 hours without the use of fever-reducing medication.  A negative test result is not required to return after being exposed.
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If you were exposed to someone with COVID, do you have symptoms?
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Have you notified your teacher, principal or immediate supervisor about this situation?
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When did your doctor say you could return to school/work?
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A copy of your responses will be emailed to the address you provided.
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