Daily COVID-19 Health Screening- The Edison ELC
Parents must answer the following questions prior to drop off. Your child will not be admitted to school until the completed form is received. If you answer yes to any of the following questions, your child must stay home. Please call school for guidance on steps needed for your child to return to school.

One form per family is needed each day. If your child is not attending, due to an illness or possible/positive case, please complete in order for our center to track illness in our center.

*Parents must report all probable/positive cases to Dawn Toolan (director) as soon as possible to allow for proper contact tracing to begin. Refer to our centers COVID-19 Health & Safety Plan as needed.
Student(s) Last Name, First *
Please check child's classroom
Does your child or anyone in your household currently have any symptoms of illness? *
Has your child taken any fever reducing medicine within the past 48 hours? *
Has your child, or any family member living with your child, had close contact (within 6 feet of an infected person for at least 15 minutes) with a person with confirmed COVID-19? *
Is your child, or any family member living with your child, currently waiting on COVID-19 test results? *
Has anyone in your family tested positive for COVID-19 within the past 24 days? *
Has your child, or any family member living with your child, traveled to an area where the local or state health department is reporting large numbers of COVID-19 cases? *
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