Foothill Summer School Families. Please fill out this Daily Student Health form EVERY day, by 8 AM, before bringing your child to campus for Summer School. If you answer YES to any of the following questions, please follow up with Foothill MS Office Manager, Ms. Martin (925-939-8600), immediately so we can assist on next steps. Do NOT bring your child to school if they have been exposed to a positive case or the health symptoms described in the Covid 19 Decision Tree from CCC Health Dept. [https://docs.google.com/document/d/1RtO4IYTqq4PsnMxa29aZjJHKQR_IfiRvMfpv9XzEQAk/edit] Thank you! ~Principal Vaiana

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Student ID# *

LAST Name *

FIRST Name *

Grade Level *

Is your child experiencing any symptoms such as current or recent fever (100.4 degrees or higher), new or worsening cough, new or worsening shortness of breath or respiratory illness, sudden lack of taste or smell, sudden onset of unexplained gastrointestinal illness? (KEEP your student HOME with any of these symptoms.) Reference above Decision Tree from CCC Dept. of Health. *

Yes

Have you been in close contact with anyone who has been diagnosed with COVID-19? * *

Yes

Have you been in close contact with anyone who is experiencing symptoms of COVID-19, but is yet to be confirmed? * *

Yes

Are you living with, or in close contact with, anyone such as a family member who is experiencing symptoms or has been confirmed as positive for COVID-19? *

Yes

Have you traveled outside of the continental United States within the past 14 days? (This does NOT prevent you from attending the In Person Learning Support time--just email Ms. Vaiana to explain. vaianak@mdusd.org) *

Yes

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