Daily Health Survey
Please submit this form daily before coming to campus. The form is date stamped upon submittal.
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Email *
Keiki's Last Name *
Keiki's First Name *
MHPCS School Site *
Does your keiki have a temperature of 100.4 degrees F or higher? *
Have you given your keiki fever reduction/cold medicine today? *
Do you have any of the following symptoms this morning (check all that apply) * *
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