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Potential COVID
Use this form to report if your child has COVID-like symptoms, is waiting for a COVID test, tested positive for COVID, has been identified as a close contact of a positive COVID case, or is a sibling. Fill out 1 form for each child impacted.
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Name of Person Filling Out the Form
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Your answer
Email of Person Filling Out the Form
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Your answer
Child First & Last Name
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Your answer
What is the Situation
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Child has COVID like symptoms
Sibling of child with symptoms
Child is awaiting COVID test
Child tested positive for COVID
Child identified as a Close Contact of a positive COVID case
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