COVID-19 Case Reporting

Positive Test Reporting or Close Contact Reporting
Name of person being reported *

First Name Last Name
Student or Staff Member? *
Parent/Guardian Name *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Email
example@example.com
Date of Birth *

Month Day Year
Date
Grade Level *
School *
Location of Employment *
I am reporting a *

Positive COVID-19 Test Result Quarantine recommendation from Health Dept. or Healthcare Provider
What date was the household positive case tested? *

Month Day Year
Date
What day did you notice first symptoms? *

Month Day Year
Date
What day did you test? *

Month Day Year
Date
What is the name of the facility or office where the COVID-19 test was performed? *
Were you provided documentation of your test result? *

Yes, I received paper documentation. Yes, I was able to log into a portal and view my test results. No, I only received a phone call with my test results.
Please upload the document or screenshot of the COVID-19 test result AND any return to school or work documents if given.

Cancel of
Do you have reliable internet access in your home? *

YES NO
If you or your child is sick or unwell please STAY HOME.

Please note submissions may take 48 hours to be reviewed. Submissions received on the weekend will be reviewed within 48 hours of the next school day.

If needed, School Nurses can make recommendations to families based on TDOH: Releasing Cases and Contacts from Isolation and Quarantine and/or use COVID-19 Quarantine and Isolation Calculator. This is only a recommendation and will not replace the opinion of public health and/or health care professionals.

Documentation will be required for attendance purposes related to quarantine. The TDOH Extend Line can be reached at 866-354-2818 and can assist families and provide documentation if needed. Please note: It is common for documentation to be provided on or near the end of the quarantine period.

The details of contact tracing will be handled by the Department of Health. McMinn County Schools will assist public health to verify COVID-19 information as needed throughout the school year. Please be advised that McMinn County Schools will not recognize or accept at home test results for COVID-19.
I understand that I'm sharing COVID-19 Data with the McMinn County School District and other entities as required by law. No other third parties will have access to data recieved. *

Yes
Please verify that you are human *
Should be Empty:

Positive Test Reporting or Close Contact Reporting