Amesbury student or staff member reporting a positive COVID-19 test
Test results are sent to the district/school for informational purposes only.  All results will remain confidential and individual results will never be made public.
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Student/Staff First Name *
Student/Staff Last Name *
Staff or student
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Guardian Name (student only)
Guardian/Staff Phone Number *
School *
Day Zero (Either start of symptoms OR date of positive test) *
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DD
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YYYY
Suggested return to school (6th day from DAY ZERO, symptom onset or Positive test date) *
MM
/
DD
/
YYYY
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