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Student Self-Screener Form
All parents are required to conduct a daily self-screener for all students attending MVISD. Parents are required to complete the form below if you need to report a YES on any question below.
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* Indicates required question
Name of Person Completing Form
*
Your answer
Contact Number
*
Your answer
Student's Full Name
*
Your answer
Grade Level
*
Your answer
School Where Student Attends
*
Elementary
Middle School
High School
Is your child lab-confirmed with COVID-19?
*
YES
NO
In the past 14 days, has your child had close contact* with an individual who is lab-confirmed with COVID-19?
*
YES
NO
Has your child recently begun experiencing any of the following symptoms below in a way that is not normal for your child?
*
YES
NO
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