Daily Health Screener - PHMS
Parents and guardians use this checklist every day before sending your children to school.
If you answer "YES" to one or more questions, you must keep your child home from school today.
Sign in to Google
to save your progress.
Student's First Name
Student's Last Name
Parent's / Guardian's First and Last Name
Teacher's Last Name
Never submit passwords through Google Forms.
This form was created inside of Woodhaven-Brownstown School District.