PALS Anonymous Lice Alert & Local Activity Report
Report a local head-lice case and, if you choose, request an anonymous exposure notification to friends or family.
Section 1 — Report local lice activity
City
*
ZIP Code
*
School, Daycare, Camp or Organization Name
Approximate date lice was discovered
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Where might exposure have occurred? (e.g., school, daycare, camp, sports, sleepover, other)
School
Daycare
Camp
Sports
Sleepover
Other
Optional notes
Section 2 — Anonymous exposure notification
Would you like PALS to anonymously notify friends or family who may have been exposed?
*
Yes
No
Email Addresses to Notify #1
*
Enter one email address. Each person will be notified privately.
Email Addresses to Notify #2
Enter one email address. Each person will be notified privately.
Email Addresses to Notify #3
Enter one email address. Each person will be notified privately.
Email Addresses to Notify #4
Enter one email address. Each person will be notified privately.
Email Addresses to Notify #5
Enter one email address. Each person will be notified privately.
Here’s the email PALS will send:
Subject: A Private Head Lice Exposure Alert
Hi,
Someone who has recently been in contact with you or your family has reported a case of head lice and asked PALS to send you an anonymous heads-up.
Their identity has not been shared with you, and your information has not been shared with them.
Head lice can spread through close head-to-head contact, so we recommend checking everyone in your household—especially children—over the next several days.
There’s no need to panic. This notification simply gives you an opportunity to check early.
What should you do now?
Take a careful look at the hair and scalp. If you’re unsure what you’re seeing, PALS can help with a professional screening.
Want to stay ahead of lice?
Sign up for our FREE PALS Local Lice Activity Alerts to receive relevant local activity, school/daycare, camp, screening and pop-up alerts.
We also offer Saturday screening opportunities, and you can follow PALS for announcements about free and pop-up screening events.
Questions or need help?
PALS Lice Treatment & Removal
Virginia Beach & Norfolk
844-369-8170
letsbepals.com
A heads-up is always better than a head full. 😉
This is an anonymous exposure notification requested by someone who believes you or your family may have been exposed to head lice. It does not mean PALS has confirmed that you have lice.
You don’t need to write anything. PALS sends this standard message for you, and your name and your child’s name are not included.
Section 3 — Optional reporter contact
Reporter/Parent Name
First Name
Last Name
Reporter Email (only if you want PALS to contact you about this report)
example@example.com
Submit Report
Should be Empty: