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COVID Exposure/Potential Exposure
  • COVID Exposure / Potential Exposure Notification Form:
     
    Please complete this form to provide notification to WCHS of a person who has been on campus who:
     
    • Is feeling ill with COVID Symptoms
    • Been exposed or potentially exposed to COVID
    • Tested positive for COVID
     
    This information will be kept confidential. 
     
    If you have more than one person in your household that you need to notify WCHS about, please submit a different form for each individual.
  • What is the last date that any of the previous statements were true for this person (i.e. Last Date of Exposure):