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Winslow Junior High School - Absence Due to Illness Reporting
Please use this form to report your student's absence for
illness only
. A member of the nursing team may contact you directly to gather more information. Please call the WJHS main office at #872-1973 to report absences that are unrelated to illness.
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* Indicates required question
Email
*
Your email
Date of Absence
*
MM
/
DD
/
YYYY
Student's Name (if reporting more than one, please use a different form for each student):
*
Your answer
Name of Parent/Guardian who is filling out this form (and phone number):
*
Your answer
Please check off the illness symptoms that your student is experiencing today:
*
Cough
Difficulty breathing
Fever (100.4 or greater)
Sore throat
New loss of taste or smell
Muscle pain
Nausea/vomiting/diarrhea
Headache
Congestion/runny nose
Tested Positive for COVID19 (provide date below)
Required
If Covid positive, date of COVID19 test:
MM
/
DD
/
YYYY
Additional information about your student's illness or symptoms:
Your answer
A copy of your responses will be emailed to the address you provided.
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