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Crum Gym

Illness Reporting Form Including COVID

Required

The intent of this form is to capture data for the safety of our community. The information is confidential and only shared with our school’s health professionals. The campus nurse will reach out to you on the following school day.
Parent/Submitter's Namerequired
First Name
Last Name
Has the ill person received a positive COVID diagnosis with a PCR test? (We do not recommend testing with rapid or at-home tests).

Please keep your student home and our healthcare team will reach out to you during the day Monday through Friday between the hours of 8:00 a.m.–4:00 p.m.

Please keep your student home and our healthcare team will reach out to you during the day Monday through Friday between the hours of 8:00 a.m.–4:00 p.m.