Stevenson High School Covid safety Protocols
If the answer is yes to ANY of the following, do not send your child to school.
You should also promptly contact the Macomb County Health Department at 586-463-3750
or family physician for further guidance.

I. In the past ten (10) days, my child has tested positive for COVID-19. Please contact
the school attendance line to report absence due to COVID-19.

II. In the past fourteen (14) days, my child has been in close contact with someone
who has tested positive for COVID-19. This includes being notified of close contact
by a reliable source in which the positive carrier may not always be named but tracing
information has been gathered. Please contact the school attendance line to report
being in contact with someone diagnosed with COVID-19.

III. My child is experiencing one or more of the following illness or illness symptoms
that I consider different from any explainable circumstance or known existing baseline
condition such as seasonal allergies, asthma, migraine headaches, etc.:

• Fever of 100.4 degrees Fahrenheit or higher when taken by mouth
• Sore Throat
• Uncontrolled cough that causes difficulty breathing
• Diarrhea, vomiting or abdominal pain
• Severe headache, especially with fever




Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Date *
MM
/
DD
Temperature *
Have you read the self-screening document/Protocol? *
Have you answered YES to any of these questions asked?  IF YOU ANSWER WITH A YES YOU SHOULD STAY AT HOME AND CONTACT THE DIRECTOR AT 586/206-4341 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy