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

If your child has tested positive for COVID-19, please read slide 19 in the Return to School Playbook found on the Easton Pubic School Website or found here: https://docs.google.com/presentation/d/1x6JUANkJO6J0WOleIN8gzDaZUnoPeRDa/edit#slide=id.p1

To determine when your child can return to school, please use the Isolation or Quarantine Calculator found here: https://docs.google.com/spreadsheets/d/1MmSd0aG3r7mPlHi3xdHafcpgpAccc_67gZR-ZicDeNQ/edit?usp=sharing .  
Simply plug in your child's first symptom date (if they have symptoms) or their test date (if they are asymptomatic) in the highlighted cell.  

For more information see the DESE COVID flowcharts here: https://www.doe.mass.edu/covid19/on-desktop/flowcharts.pdf

 
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Student's FIRST Name *
Student's LAST Name *
What school does your child attend? *
What grade is your child in? *
What is the name of the person completing this form? *
What is the best number to reach you? *
Did your child test positive for COVID-19?  If you answered NO, you do not need to complete this form. *
What is the last date your child attended school?
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Did your child take a PCR test and/or a Rapid test? (check all that apply) *
Required
What date did your child take a PCR test? (if applicable)
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What date did your child take a rapid test? (if applicable)
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Does your child have symptoms? *
If your child has symptoms, what was the date of your child's first symptom?
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If your child has symptoms, please list the symptoms that they have.
Is your child fully vaccinated?  ( A person that receives 1 dose of the Johnson & Johnson vaccine, 2 doses of the Pfizer-BioNTech vaccine or 2 doses of the Moderna vaccine are considered to be fully vaccinated after 2 weeks upon completion of the last required dose)
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Do you need someone from the Easton Pubic Schools to contact you regarding your child's positive Covid-19 result?   *
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