Sept 1st - Oct 31st Health Screening
Please complete for each student prior to your child arriving at school. IF YOU ANSWER YES TO ANY OF THE QUESTIONS, PLEASE KEEP YOUR CHILD HOME AND CALL THE MAIN OFFICE AT SCHOOL.
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電子郵件 *
Student's First and Last Name: *
Today's Date: *
MM
/
DD
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YYYY
Student's Temperature This Morning (without fever reducing medicine): *
Has your child shown any of the following symptoms of COVID-19 in the last 14 days: a sore throat, cough, chills, nausea or vomiting, diarrhea, congestion or runny nose, body aches, shortness of breath for unknown reasons, loss of smell, loss of taste, fever at or greater than 100 degrees Fahrenheit? *
Has anyone in close contact to your child had any of the following symptoms in the last 14 days: a sore throat, cough, chills, nausea or vomiting, diarrhea, congestion or runny nose, body aches, shortness of breath for unknown reasons, loss of smell, loss of taste, fever at or greater than 100 degrees Fahrenheit? *
Has your child or anyone in close contact to your child been monitored for COVID-19, been in quarantine due to symptoms of COVID-19 or tested positive for COVID-19 in the last 14 days? *
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