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COVID-19 Positive Case

Use this form to report the details about your child's COVID-19 positive test result.

Student and Sibling Details

Required

Note: Employees may also use this form to submit details about a personal COVID-19 positive case.
Parent NamerequiredName of person submitting this form
First Name
Last Name
Name of person submitting this form
For communication about positive case protocols
Best number for contacting you about positive case protocols.

Positive Case

Provide information about the student or employee who has tested positive for COVID-19.

For students in grades 7 - 12, enter N/A.
If applicable, include dose dates and ensure vaccination record card is uploaded to health portal
Must contain a date in M/D/YYYY format
If asymptomatic, enter 1/1/2000 (Must contain a date in M/D/YYYY format)
Must contain a date in M/D/YYYY format
Must contain a date in M/D/YYYY format

Family Members

Provide information about family members (siblings, children, spouse) who attend or work at Bear Creek.
Must contain a date in M/D/YYYY format
If applicable, include dose dates and ensure vaccination record card is uploaded to health portal
Must contain a date in M/D/YYYY format
If applicable, include dose dates and ensure vaccination record card is uploaded to health portal
Must contain a date in M/D/YYYY format
If applicable, include dose dates and ensure vaccination record card is uploaded to health portal