Report a POSITIVE COVID-19 Test Result

Student Name*

Year Group*

Date of Positive Test Result*

Symptoms*

Did you experience symptoms?

Yes
No

Date symptoms started*

Is the child well enough to work?*

Select as appropriate

Yes
No

Please enter parent/guardian contact number*

Date last in school*

Do you have a sibling in school?*

Yes
No

Has your child been vaccinated against Covid-19?*

Yes
No
Prefer not to say

Sibling Details*

Student Name	Year Group

This student must now self-isolate for 14 days.

When you do not need to self-isolate

If someone you live with has symptoms of COVID-19, or has tested positive for COVID-19, you will not need to self-isolate if any of the following apply:

you're fully vaccinated – this means 14 days have passed since your final dose of a COVID-19 vaccine given by the NHS
you're under 18 years, 6 months old
you're taking part or have taken part in a COVID-19 vaccine trial
you're not able to get vaccinated for medical reasons

Even if you do not have symptoms, you should still:

get a PCR test on GOV.UK to check if you have COVID-19
follow advice on how to avoid catching and spreading COVID-19
consider limiting contact with people who are at higher risk from COVID-19

Privacy Policy*

Please read our Privacy Policy to find out how we use your information.

I have read, understood and agree to the terms outlined in the Privacy Policy.

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