Return to School Form
This form must be completed by parents at least 3 days in advance of their child returning to school.
If the answer is Yes to any of the below questions, you are advised to seek medical advice before your child returns to school.
*
Your child's name *
Name of school *
Please answer the following questions. *
Yes
No
Has your child any other common symptoms of coronavirus - a new cough, loss or changed sense of taste or smell, or shortness of breath?
Has your child been in close contact with someone who has tested positive for coronavirus?
Has your child been living with someone who is unwell and may have coronavirus?
Is your child displaying symptoms of any other childhood illness? *
If your answer is yes to 'childhood illness', please state what it is and keep your child at home for 48 hours after the symptoms have ceased.
Signed (Parent type name here if completing online) *
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