Return to PCCC after being sick
Please complete this form when your child is returning to PCCC after being home due to sickness. We need accurate information for the center to report to the Department of Health if it is needed. Thank you for taking the time to complete this form. We are praying for your child's health and your family.

**With COVID-19, symptoms need to be improved and fever-free for 24 hours, and may need to be home for a minimum of 10 days. Please review the WA Department of Health Decision Tree posted on our FB page for more details:
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Parent/My Full Name: *
My child(ren)'s First Name: *
Please indicate if your child has been SYMPTOM-FREE for a minimum of 24 hours from any of the following symptoms that cannot be attributed to another condition: *
Anyone in the household with any above signs, has a high-grade fever over 100.4*F, or being tested for or suspected of having COVID-19? *
In the last 24 hours has your child had a fever of 100.4*F or greater? If yes, have you given your child fever-reducing medication in the last 24 hours? *
Please indicate if your child was out from any other symptom not listed above (such as chickenpox, croup, hand-foot-and-mouth, lice, etc.) and is now symptom-free. *
In the last 14 days has your child had close contact with anyone suspected or confirmed with COVID-19? (Close contact is defined as being 6-feet or closer for more than 10 minutes or having direct contact with fluids from a person.) *
I certify that if my child was tested for COVID-19, I have notified PCCC of the results. *
I certify that if a member of my immediate family (household) was tested for COVID-19, I notified PCCC the results. *
I certify that, within the last 14 days, a public health or medical professional has not told my child or an immediate family member (household) to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection. (If your doctor has removed the quarantine restriction due to a negative COVID test, your family can return.) *
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