subject_line
After Hours and Weekend/Holiday COVID Reporting
Please complete the required information below:
Are you reporting student or staff?
*
Student
Staff
Building:
*
Bayview Elementary
Manetuck Elementary
Oquenock Elementary
Paul J. Bellew Elementary
Beach Street
Udall Road
West Islip H. S.
Westbrook/Kirdahy
District Office
Transportation
Buildings & Grounds
Staff First Name:
*
Staff Last Name:
*
Staff Phone Number:
*
Student First Name:
*
Student Last Name:
*
Parent First Name:
*
Parent Last Name:
*
Parent Phone Number:
*
Date of Test
*
+
What kind of test was administered?
*
PCR (Nasal Swab which typically takes 1 or more days for results to return from a lab)
Rapid (Nasal Swab which is tested on-site and takes hours for results to return)
Antibody (Blood test)
District-issued Over-the-Counter Test (OTC)
Are you symptomatic or asymptomatic?
*
Asymptomatic
Symptomatic
What date did you first experience symptoms?
*
+
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