Report Suspected or Confirmed COVID

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Report Suspected or Confirmed COVID - RSU #34

For staff, students, households of the RSU #34 community. Please use this form to report confirmed or suspected cases of COVID19. If you or your household members have symptoms of COVID-19, please also check with your primary care provider.
Staff check this form frequently throughout the week to take appropriate follow-up action, in order to keep the spread of COVID-19 slow!

Who is completing this form? *

What is your phone number?

What is your email address?

Who is the person with either confirmed or suspected COVID? *

Please list any contact info that would help us get in touch with that person (phone number, email address)

In which of our schools does that person learn/work?

Alton Elementary School (grades PK-5)

Viola Rand School (Bradley, grades PK-3)

Old Town Elementary School (grades K-5)

Leonard Middle School

Old Town High School

If you know it, please share the date of birth of the person with confirmed or suspected COVID:

If you know it, please share the town of residency of the person with confirmed or suspected COVID:

Is there any other information you can provide to help us follow up?

Please click "Submit" below.

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