WSD Positive / Probable Cases and Quarantine Reporting Form
Please complete this form if you are the parent and/or guardian for a child who has tested positive for COVID-19, in the past two weeks, is considered to be probable for COVID-19 in the past two weeks, or are currently under quarantine due to exposure with an individual who has tested positive or is probable for COVID-19.
A separate form should be submitted for each school-aged child.
In accordance with the Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR Part 99) and the Health Insurance Portability and Accountability Act of 1996 (HIPAA), all student educational records and health information collected in through this form are protected and will be kept private.
