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Health-Related Absences
This form has several questions that are dependent on your responses. There is space for comments at the end if your questions or concerns are not directly addressed.
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* Indicates required question
Name of Student or Staff Member who is Absent
*
Your answer
School for Students (Staff select staff)
*
Student - Ute Pass Elementary
Student - Manitou Springs Elementary
Student - Manitou Springs Middle
Student - Manitou Springs High
Staff
Required
Full name of person completing this form and the best method of contact (phone number or email)
*
Your answer
Reason for Absence
*
COVID Concern (positive test, household positive case, or symptomatic after an exposure)
Student/Staff is sick - Undiagnosed Illness
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