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Harrisburg High School Student Health Screen
Please complete this form before you leave your home to bring your child to HHS. If possible, check your child's temperature just before you leave your house for the bus stop or to come to school.
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Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Please take your child's temperature and record it here
*
Your answer
Does your child have any of these symptoms this morning?
*
No
Yes
Difficulty Breathing
Unexplained Cough
Sore Throat
New Loss of Taste or Smell
No
Yes
Difficulty Breathing
Unexplained Cough
Sore Throat
New Loss of Taste or Smell
Within the past 14 days, has your child been in direct contact with anyone who tested positive for COVID-19?
*
No
Yes
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