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Report a Positive COVID-19 Test

(At-home antigen tests or lab tests such as a PCR test)

Positive student cases will also be reported to the student’s school along with their return dates so the health office and front office are aware that the student will be out of school.

Reporter Information

Reporter Name
Reporter E-Mail
Reporter Phone

Student Information

Student Name
If you have multiple student cases to enter, please report each student case separately

Test Information

  • For at-home or rapid antigen tests this is the same day your student took the test.
  • For viral lab tests (PCR tests) this is the date the swab was collected, not the date the results came back.
Positive Test Date

Symptoms
Was the student tested due to experiencing COVID-like symptoms? (fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea)
Symptom Onset
What date did the student’s COVID-19 symptoms first begin?

Contact
Would you like to be contacted by someone on the PSD COVID-19 Support Team for assistance with questions or additional follow-up?

Additional Information
Please include any additional information that you think we should know about your student’s recent school activities such as PSD sports teams, band, choir, field trips, overnight school trips, etc.

This form will be submitted to the PSD COVID-19 Support Team. The team will review the case information and will reach out if additional information is needed. If you have any additional questions, you can e-mail CovidTracing@psdschools.org or select the option above for the COVID-19 Support Team to contact you.