COVID-19 Home Test Result Reporting

Student's School:*

Early Learners - please select South Park Elementary School from the above drop-down menu.

Student's Name (as it appears in Skyward Family Access)*

First NameLast Name

Parent/Guardian Name*

First NameLast Name

Parent/Guardian Phone Number*

Home Test Manufacturer(Brand) and Test Name *

Please type in the information on the at-home test. Ex. Abbott BinaxNOW

COVID-19 Test Date*

COVID-19 Test Result*

NegativePositive

TEST RESULTS: Please use the 'Take A Photo' button or 'Upload Photo' tool below to provide a photo of your child's test results.

Example:

Take Photo of Result

Upload Photo Instead

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IF YOUR CHILD TESTS POSITIVE A DPS109 STAFF MEMBER WILL CONTACT YOU VIA THE NUMBER PROVIDED ABOVE. PLEASE DO NOT SEND YOUR CHILD TO SCHOOL.

Parent/Guardian Signature*

Clear