Mandatory Temperature & Health Screening Assessment (Students)
To be filled out the morning of when you are scheduled to come to the school campus. Please print and bring this document with you.

Daily completion is required of all employees PRIOR to reporting to work location. If you present with any symptoms, as per the Center for Disease Control (CDC) website:

https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

If during the school day, your student presents with any of these symptoms, you will be contacted to come to school and take your student home.

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Email *
What is your student's first and last name? *
This morning my student's temperature was equal to or greater than 100.0 degree F. *
In the past 14 days, has your student knowingly been in close contact with anyone who has tested positive for COVID-19 or who has or had symptoms of COVID-19? *
In the past 14 days, has your student tested positive for COVID-19? *
In the past 14 days, has your student experienced any symptoms of COVID-19 as per the Center for Disease Control (CDC) website? https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html *
If you answered "Yes" to any of the questions above, your student is required to stay home from school. Please contact our school nurse: nursenancy@olgmanhasset.com. It is also strongly recommended that you contact your student's health care professional if you have not already done so.
In the past 14 days, has your student traveled outside of the US? *
If you answered "Yes" to the question above, please contact our school nurse: nursenancy@olgmanhasset.com.
By entering my name below, I acknowledge that my answers to the above questions are true. *
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