COVID-19 Reporting Information and Link

This form will be sent to the SMSA Attendance Tracking Team.  A member from this team will follow up with you once they have received and reviewed the information sent.  Your privacy is of utmost importance to us.  Any information gathered on this form will be confidential.  Please complete a separate form for each child.

 

Please complete this form if:

  1. your child(ren) feels ill with COVID-19 symptoms
  2. your child(ren) feels ill with COVID-19 symptoms and is getting tested
  3. your child(ren) has been exposed to a person who is positive for COVID-19 in your home
  4. your child(ren) has been exposed to a person who is positive for COVID-19 outside of your home

 

Please contact the School Nurse, Patti Shippee, RN at 920-322-3206 or the Attendance Director, Amy Pickart at 920-322-8036 with any questions.

 

COVID-19 Reporting

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

  • Please answer one or more of the following questions that pertain to your COVID-19 reporting.

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • example: Fond du Lac County Health Department