Please read the following information carefully before continuing to the form.
When you learn about a positive case, the first step (after ensuring that the positive patient is safe and cared for) is to fill out this form. Bank Street uses this form to track positive cases and follow up with patients and/or their families. The data collected in this form also helps us to keep our community safe.
You only need to submit this form once for each positive case.
This form is ONLY for positive students and staff who attend or work at a Bank Street program. Parents/household members of Bank Street students who test positive should not use this form unless they work or attend school at Bank Street. If you select "Parent" as your role in the following pages, you will not be able to submit.
All of the information submitted in this form is kept confidential. The only people with access to this information are select Bank Street staff who are directly involved in positive COVID-19 case response.
Once you submit the form:
1. You will receive an automatic email with some information about next steps. This email may be sent to your spam folder, so be sure to check "all mail" or search your inbox using the search term "Bank Street Health Response Team."
2. If Bank Street's health response team has questions or needs more information, you may receive a follow up call/email from our team.
3. The Bank Street health response team will review your report to determine potential exposure.
4. Depending on the information provided, we may send out targeted emails letting some people in our community know that we have reason to believe they have been exposed to COVID-19, and that they should be tested. We will not give away any personally identifiable information about positive patients.
If you are not sure how to answer a given question, you should reach out to your main contact for COVID-19 questions. If you are not sure whom to call/email, please reference this information sheet.