Provide the last known date of contact with individual that tested positive for COVID (or test date if self). *
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Has your child had a fever or any other symptoms of COVID in the last 48 hours? *
If your child has taken a viral COVID test, please indicate if the result was negative or positive? *
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If your child has taken a viral COVID test, please provide most recent test date.
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Provide additional details that you feel will better clarify your child's situation related to COVID-19 close contact (school, home, etc.) or quarantine. *
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