School demographics form

Instructions

This form is to enable the City of Houston, through the Houston Health Department, to support you in keeping an open and safe school environment through free and accessible COVID-19 testing programs.

Please answer the questions below, and we will be glad to follow up with you. 

School address
School type/category
School point of contact
School has testing policy
School testing method
School testing support requests
CAPTCHA This question tests whether you are a human visitor and prevents automated spam submissions.

Page last reviewed: September 23, 2021