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Visitor Screening
IMPORTANT: If you or someone in your household are sick and/or have any of the symptoms below, please do not enter the school building but reschedule your appointment for a later time.
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Name
*
Your answer
phone #
*
Your answer
Have you had a fever in last 72 hours?
*
Yes
No
Required
Have you had a cough, difficulty breathing or shortness of breath related to illness in last 72 hours?
*
Yes
No
Required
Have you taken any fever reducing medication (ie. Tylenol, Advil, or Motrin) in the last 72 hours?
*
Yes
No
Required
Have you been in contact with anyone suspected of or tested positive for COVID-19 in last 14 days?
*
Yes
No
Where is your appointment on the Lupin Hill Campus?
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Your answer
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