Self-Test Attestation · DC Health Secure Link

COVID-19 Test Self Reporting Portal

Please complete the form below to report COVID-19 test results. Upon completion of the form, a member of DC Health may contact you.

Are you:

First Name

Last Name

Phone

School (type to search and then select)

Please provide 3 or more characters of the school's name.

Current Grade

Student ID (optional)

Street Address

City

State

Zip Code

Month

Day

Year (4-digit)

Guardian's Full Name

Guardian's Relationship

Guardian's Phone

Guardian's Email

Test Result

Result Date (You may use this date format "M/D/YYYY" or select from the calendar control.)

Test Type

Are you submitting these results for:

I agree to share this information with the District and that a District representative may contact me.

Test Result Documentation