Wilson COVID Student Report Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please only complete this form if your Wilson student has a confirmed positive Covid case. Please complete a new form for each student.

Student's First and Last Name *

Student's ID # *

Student's Grade *

Did your student have any symptoms prior to the positive covid test? *

Yes

If symptoms were present, what date did they begin? Skip if no symptoms were present.

YYYY

What date did your student test positive for Covid? *

YYYY

What type of Covid test was used? *

PCR

Antigen

Home test

What date was your student last present on Wilson Campus? *

YYYY

Please provide a parent email for contact regarding quarantine. The nurse will reach out via email with more information. *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Plano ISD.

Does this form look suspicious? Report