Covid-19 Reporting Form

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Please use this form to report a positive LFT (Lateral Flow Test) and/or PCR Covid-19 test result for ANYONE in your household.

Please write the full name of the person completing this form. *

Please write the names of your child/ren who attend St Paul's Catholic Primary School below (including surnames and Year Group/s). *

Please indicate who has received a positive test result. (Tick all that apply) *

A pupil who attends St Paul's Catholic Primary School

Someone who lives in the same household as a child who attends St Paul's

A close family member or friend that my child has had close contact with

Other:

Required

Which test was taken? *

LFT (Lateral Flow Test)

PCR

If a positive LFT test result, are you going to book a PCR test? *

I have already booked a PCR test.

I am going to book a PCR test.

I do not plan to book a PCR test.

Not applicable

Other:

Does a child who attends St Paul's have symptoms of Covid-19? *

Yes

Please state the date that the symptoms began (DD/MM/YYYY).

Please add any details which may be relevant for us to know.

Please add a contact number that a member of staff can contact you on. *

If you have not already phoned the school to advise them of this situation, please do so as soon as possible on 01625 877688. *

I have already phoned and notified school of the positive result

I will phone school to notify you of the result.

Required

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