Student-COVID Positive
Parent/Guardian please fill out this form to report your Indian River High student testing positive for COVID. When this information is received you should expect to hear back from Nurse Bhagan (during normal school hours) with confirmation that the information was received and a return date. This information is kept confidential and will only be accessed by the school nurse.
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Email *
Students First Name *
Students Last Name *
Students Symptoms:
Students Symptoms start date
MM
/
DD
/
YYYY
Students Positive test date *
MM
/
DD
/
YYYY
Location of test *
Students Last date in school building *
MM
/
DD
/
YYYY
Notes
A copy of your responses will be emailed to the address you provided.
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