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New Harvest Christian School Health Screen Form
If you cannot verify every statement, please keep your child at home and call the office to confirm absence.
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* Required
Student Name (First & Last Names)
*
Your answer
Please Verify the Following Health Screen Statements:
*
NO Fever
No cough, shortness of breath, or loss of taste/smell
No exposure to anyone with COVID-19 or to anyone who has been diagnosed with COVID-19 within the last 14 days
Required
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