Taft HS/ CAHS Covid Data Entry Form
Please complete the following form to report suspected exposure or confirmed cases of COVID-19.  Please inform your student to reach out to their teachers for assignments. Nurses will respond with return dates via email or phone if more information is needed.
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Which campus does the student attend? *
Date of first student absence related to Covid
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Student Last name, First Name *
Student ID without the "S" *
Grade *
Parent phone number *
Parent email *
Has your student had a known exposure to Covid-19 in the last 2 weeks?  Type Yes or No. If yes, also type in the date of exposure *
What type of exposure was your student exposed to? *
Symptoms (Please type N/A if student is not symptomatic) *
Start date of symptoms *
Last date on campus or at NISD event *
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Covid-19 vaccine status *
Covid test results *
Covid test date (type N/A if student has not been tested) *
Type of Covid test *
Is your student involved in any clubs or extracurricular activities?  If so, please list.  If not, please type N/A. *
 "Remote Conferencing" Link is not sent by campus nurse. Please be patient if you do not receive the link immediately. Check email provided on this form for earliest return date for your student. Thank you                                                                                   *
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