COVID Reporting Form - Positive Test or Close Contact with a Positive Person
Families, your child's safety is of the utmost importance. In order to keep our community safe we ask that you report any positive cases or contact as quickly as possible to our school. To assist in that process, please complete the following form. You can also call 215-400-3090 to report positive cases.
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I am filling out this form because...
Student First Name
Student Last Name
Section
Student Last Date of Attendance at Baldi
MM
/
DD
/
YYYY
Date of Onset of Symptoms (Only if Positive)
MM
/
DD
/
YYYY
Date of Positive COVID Test (Only if Positive)
MM
/
DD
/
YYYY
Last Date of Contact with Positive Person
MM
/
DD
/
YYYY
Where was your child tested?
What are the symptoms?
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