Football Student Health Screening
Complete this form prior to returning to school for any activities.
Student First Name
Student Last Name
Do you have any of the following new or worsening symptoms of possible COVID-19?
* New uncontrolled cough that causes difficulty breathing (or, for students with a chronic allergic/asthmatic cough, a change in their cough from baseline)
* Abdominal Pain
* Sore Throat
* Loss of taste or smell
* New onset of severe headache, especially with a fever
* Muscle pain
* Repeated shaking with chills
* Shortness of breath or difficulty breathing
* Temperature of 100.4 degrees Fahrenheit or higher when taken by mouth
* Known close contact with a person who is lab-confirmed to have COVID-19
Do you have any of above symptoms of possible COVID-19?
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This form was created inside of Tatum ISD.