Positive Case Contact Form

C-19 Contact Form

FOR OUTSIDE SCHOOL HOURS ONLY - Please complete this form if you need to alert the College regarding a pupil with Covid-19 SYMPTOMS, a POSITIVE test result, a VOID test result, or a MISSED Lateral Flow Test.

* Indicates required field

Pupil Name *

First

Last

Pupil Year Group *

Pupil Date of Birth *

Pupil Post Code *

Parent Email *

Parent Phone Number *

Please tick where applicable. *

Pupil is symptomatic - persistent cough, high temperature or loss of taste or smell Pupil has received a POSITIVE test result A member of the pupil household has received a POSITIVE test result Pupil is asymptomatic and tested POSITIVE on a Lateral Flow Test Lateral Flow Test is VOID MISSED Lateral Flow Test

Provide any further details here (siblings in household etc) *

Submit

C-19 Contact Form

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