Daily Health Screener - BMS
Parents and guardians use this checklist every day before sending your children to school.

If you answer "YES" to one or more questions, you must keep your child home from school today.
Sign in to Google to save your progress. Learn more
Student's First Name *
Student's Last Name *
Parent's / Guardian's First and Last Name
Teacher's Last Name *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Woodhaven-Brownstown School District. Report Abuse