After Hours Presumptive/Positive COVID-19 Reporting Form
This form should be used if a parent or staff member needs to report presumptive or positive COVID 19 tests after 4:00 PM during the week or at any time during the weekend.  Once you complete the form, all members of the same household should quarantine until further instruction from the LHISD Exposure Team or the local health department.
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Email *
Student/Staff Last Name *
Student/Staff First Name *
Student/Staff Grade *
Student/Staff Date of Birth *
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Report Type *
Symptoms Start Date *
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Test Date (if applicable)
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First Date with Symptoms/Date of Contact *
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Campus *
Last Date on Campus *
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Is the close contact individual vaccinated? *
Parent/Guardian First and Last Name *
Parent Guardian Phone Number *
Does the student Ride a bus? *
If Yes, which routes? AM & PM
Does the student participate in Panther Care? *
Does the student participate in clubs or extracurricular activities? *
If yes, what activities?
Are there any other LHISD students or staff in the home?  If yes, please explain *
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