Return to School Attestation Following Your Child Being COVID-19 Positive

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The Suffolk County Department of Health and the North Babylon School District have recently changed their protocols to return to school after testing positive for COVID-19. The District can now allow all students to return to school after 5 days of their isolation period should the student meet all of the criteria in the form below.

Please use a new form for each occurrence within your family.

Email *

Last Name of Person Reporting *

First Name of Person Reporting *

Relation to Student *

Last Name of Student *

First Name of Student *

Grade of Student *

School your child attends *

My child's day 0 is (the day your child's symptoms started or the date of a COVID-19 test if no symptoms) *

YYYY

My child meets the following criteria to return to school after day 5 of my COVID Isolation (You must check all to qualify) *

They have no symptoms or symptoms are resolving

They have not had a fever with in the the last 24 hours and have not used fever reducing medication.

They are able to wear a well fitting mask correctly

They are not moderately or severely immunocompromised

They are able to practice social distancing at school at all times

I will continue to monitor my child for symptoms and if anything changes and will alert the school nurse

Other:

Required

I can be contacted at: *

I hereby certify the above information is true and my child will be returning to school on *

YYYY

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