NPS COVID-19 Reporting Form
Please complete this form if your student has tested POSITIVE for COVID-19. The information provided will be submitted directly to your student's school nurse.

If your student has tested positive for COVID-19, please read the DESE Protocols on the Return to School page on the Norton Public Schools Website here: https://www.norton.k12.ma.us/families/covid-returntoschool-hub

For more information see the DESE COVID flowcharts here: https://www.doe.mass.edu/covid19/on-desktop/flowcharts.pdf
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Email *
Student's First Name *
Student's Last Name *
Which school does your student attend? *
What grade is your student in?
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What is the name of the person completing this form? *
What is the best number to reach you? *
Did your student test positive for COVID-19? If you answered NO, you do not need to complete this form. *
What is the last date your student attended school? *
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Did your child take a PCR test and/or a Rapid test? (check all that apply) *
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What date did your student take a PCR test? (if applicable)
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What date did your student take a rapid test? (if applicable)
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Does your student have symptoms? *
If your student has symptoms, what was the date of your student's first symptom?
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If your student has symptoms, please list the symptoms that they have.
Is your student fully vaccinated? (Fully vaccinated is defined as two-weeks following the completion of the Pfizer or Moderna series or two-weeks following a single dose of Johnson & Johnson’s Janssen vaccine.) *
Do you need someone from Norton Public Schools to contact you regarding your student's positive COVID-19 result? *
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