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RVCSD Student Health Screening
Each school day before your child enters a school or district building, please fill out the form below to assess their wellness. Please note that one form is required for EACH student that will be attending.
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Your child's school building
*
Kerhonkson Elementary School
Marbletown Elementary School
Intermediate/Junior High School
High School
In the past 10 days, has your child experienced a fever of 100 degrees or greater, new or worsening symptoms such as cough, loss of taste or smell, shortness of breath, or other COVID-19 symptoms?
*
Yes
No
Symptoms of COVID-19
www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
In the past 14 days, has your child received a positive result from a COVID-19 diagnostic test that was administered by a nose or throat swab? (Not a blood test)
*
Yes
No
To your best knowledge, in the past 14 days has your child been in close contact (within 6 feet for at least 15 minutes) with anyone while they had COVID-19?
*
Yes
No
In the past 14 days, has your child traveled internationally?
*
Yes
No
All travelers, domestic and international, should continue to follow all CDC travel requirements.
Domestic:
https://www.cdc.gov/coronavirus/2019-ncov/travelers/travel-during-covid19.html
International:
https://www.cdc.gov/coronavirus/2019-ncov/travelers/international-travel-during-covid19.html
If you answered yes to any of the questions, please contact your child's school nurse and do not send your child to school.
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