Health Screener
Good morning! If you answer 'yes' to either of these questions for your student, please keep your student home and report the absence to your school building. One form per student. Thank you.
If your child has the following symptoms associated with COVID-19 in children, healthcare evaluation is needed and your student may not attend school today. Any TWO of the following, check all that apply:
If your child has the following symptoms associated with COVID-19 in children, healthcare evaluation is needed and your student may not attend school today. Any ONE of the following, check all that apply:
Has your student had close contact (within 6 feet for 15 minutes or more) with a person who has been confirmed to have COVID-19? *
Student LAST Name: *
Student FIRST Name: *
SCHOOL BUILDING: *
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