Student(s)

Reason for absence Reason for absence UnwellFamily ReasonsAppointment

Parent Phone

Parent Name

Is this absence related to COVID? Is this absence related to COVID? No Yes – COVID in the home Yes – Awaiting PCR test results Yes – Tested positive

If 'Yes – Tested positive', please provide the date this positive test was taken:

Any additional information you would like to provide? E.g. "Has a runny nose, will return Monday," or "Seeing the doctor today," or "Family holiday to Port Lincoln," etc.