Division

Ministry of Basic, Higher and Technical Education

DRRMO
DIVISION OF MAGUINDANAO-1
DISASTER RISK AND REDUCTION MANAGEMENT OFFICE
Pob. Shariff Aguak, Maguindanao

SCHOOLS COVID-19 POSITIVE CASE RAPID REPORT as of____________

A. School Information B. Patient Information C. Case Information

Name of School: Name: Is this case confirmed by the Local Health Unit:
School Address: Age: Date of Confirmation:
School ID: Address: Mode of Transmission:
No. of learners: Grade and Section: Date of last travel in school:
School Head: No. of Students/Learners: No. of person contact in school:
Contact Number: Health Status: No. of family member confirmed positive:
School Action/s: Other information write N/A if the Patient status ( Home Quarantined, Isolation Facility)
On what date will your school close? patient is Learner.
Other Information:
On what date will your school open?

_______________________________ ________________________________

School Head School DRRM Coordinator