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COVID19: Report a Student COVID19 Positive case

Parent/Caregiver please complete if your child has tested positive for COVID-19 (please complete one survey per child). Please note that Tatachilla Lutheran College College is mandated by the Government to confidentially report this information to SA Health.

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* 1. Surname

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* 2. First Name

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* 3. Parent/Guardian Telephone number

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* 4. Students Date of Birth

Date

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* 5. Date of Notification

Date

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* 6. Please select your child's Year Level

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* 7. Please list your child's Home class teacher or class code

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* 8. Date test was taken

Date

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* 9. Date symptoms started / or select asymptomatic

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* 10. Calculate first day of infectious period. The infectious period is two calendar days prior to onset of symptoms or two calendar days prior to the date the swab was taken, whichever is earlier. For example, Tim developed symptoms on 10th January. His infectious period starts on the 8th January (inclusive). Olivia was tested on the 16th January. She has no symptoms. Her infectious period starts on the 14th January (inclusive).

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* 11. Please list the dates your child attended the College during the infectious period.

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* 12. Please list classes that your child attended during the infectious period (including any onsite extracurricular activities eg instrumental lessons).

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* 13. Any further comments/information the school should be aware of?

Thank you for taking the time to complete this form. Please also report any days absent from school to Student Services through the absentee line phone 8329 4444 or E-mail absentees@tatachilla.sa.edu.au

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