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Returning to School Health Form
Please fill this form out before having your child return to school. If your child was seen by a doctor, please provide a doctor's note (via email) stating they are not contagious and able to return to school.
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Email
*
Your email
Child's Name:
*
Your answer
Has your child had 24 hours of feeling well, completely symptom free, without medication?
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No
Yes
Has your child taken a fever reducing or cough suppresent medication in the past 24 hours
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No
Yes
My Child has done a Covid-19 Test, and is:
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Positive. Child may return between Day 6-10 when: feeling better, fever gone. Must return wearing mask till Day 11.
Negative
Has your child had any of the following symptoms in the past 24 hours: fever, cough, chills, sore throat, chest pain, runny nose, vomiting, or diarrhea?
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Yes
No
Please share any information you need to let the director know. Children with lingering coughs must have a doctor's note stating "cough is no longer contagious". This can be emailed, or texted directly to: 707-774-5110
Your answer
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