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Positive COVID information form
If your child is confirmed with a positive case of COVID, please complete this form.
Please answer all the questions with as much information as possible.
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* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Child's Class
*
Your answer
Date of first symptoms
*
MM
/
DD
/
YYYY
Symptoms
Persistent cough
High temperature
Loss of taste/smell
No symptoms
Other symptoms (if applicable)
Your answer
Date of positive LFT
MM
/
DD
/
YYYY
Date of positive PCR
MM
/
DD
/
YYYY
PCR test result
Negative
Positive
Clear selection
Date of last day of isolation
MM
/
DD
/
YYYY
Was your child in school in the two days before their positive result?
Yes - both days
Yes - one day
No
Clear selection
Your home postcode
Your answer
Any further useful information to tell school
Your answer
Submit
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