Student Reporting- COVID-19

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This form is only for Plano ISD nurses and substitute nurses to report when a student on their campus has tested positive for COVID-19.
If you are a parent or guardian, and your child has tested positive for COVID, please notify your school nurse directly.

Este formulario es solo para que lo usen las enfermeras de Plano ISD. Si eres un padre o un tutor y su hijo/a a dado positivo por COVID, por favor notifica directamente la enfermera de la escuela.

Student Name *

Student ID Number *

Campus *

Grade Level *

Elementary School (PK-5)

Middle School (6-8)

High School (9-12+)

Grade *

Reason for report: *

Student has tested positive for COVID-19

Test type: *

PCR

Antigen

Home test

Unknown

Quarantine End Date *

YYYY

Nurse Name *

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