Report Possible Coronavirus Case

Report Possible Coronavirus Case

Full Name*
Contact Number*
Contact Email Address*
Student Name(s)*
When did Symptoms begin*
DD dash MM dash YYYY
Have they taken a Coronavirus test*
- Yes
- No
What were the symptoms experienced by the student (if they experienced any at all, ex fever, loss of taste/ smell, cough)
Date of test (or date booked)*
DD dash MM dash YYYY
Last day in school*
DD dash MM dash YYYY
Year Group*