Health Screening
SRDLCS Parents/Visitors please complete the following form BEFORE entering school buildings/office.
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Student(s): first and last name-----------------------------------------------------------Alumno/a (s): nombre y apellido *
Parent/Visitor Name: first and last name-----------------------------------------------------Nombre del padre / visitante: nombre y apellido *
Is the person coming on campus (parent/visitor/student) experiencing a fever of 99.5 degrees Fahrenheit or above?  ----------------------------------------------------------------------¿La persona(s) que viene al campus (padre / visitante / estudiante) tiene fiebre de 99.5 grados Fahrenheit o más? *
Have you or anyone at home experienced COVID-19 symptoms within the last 24 hours? (fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea) -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ¿Usted o alguien en casa ha experimentado síntomas de COVID-19 en lasúltimas 24 horas? (fiebre o escalofríos, tos, falta de aire o dificultad pararespirar, fatiga, dolores musculares o corporales, dolor de cabeza, nuevapérdida del gusto u olfato, dolor de garganta, congestión o secreciónnasal, náuseas o vómitos, diarrea) *
Have you or anyone at home been tested positive for COVID-19 within the past 10 days?  ----------- ¿Usted o alguien en casa ha dado positivo en la prueba de COVID-19 en losúltimos 10 días? *
In the last 10 days, have you been in contact with someone who has tested positive to COVID-19 or is currently under quarantine?---------------------------------------------------------------------------------------------------------------------------------------------------------¿En los últimos 10 días, ha estado en contacto con alguien que haya dadopositivo a COVID-19 o que esté actualmente en cuarentena? *
If a person coming on campus answered YES to any questions, he/she may not come in to the school building/office per CDC guidelines. The office will follow up with the family. ----------------------------------------------------------------------------------------------------------------Si la persona que viene al campus respondió SÍ a alguna pregunta, no puede entrar al edificio / oficina de la escuela según las pautas de los CDC. La oficina hará un seguimiento con la familia.
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