Students Covid Screening Form 2021-22
Parents and guardians, use this checklist every day before sending your children to school.
Fill out a separate form for each child.
If you answer “YES” to one or more questions, you must keep your child home from school today.
Does your child have any new, unusual or worsening symptoms from List 1 or List 2 below? If the answer to any of the questions is “yes”, keep your child home and consult your primary care physician. If a doctor determines that the symptoms are due to another diagnosis, or COVID-19 is ruled out, your child may return to school after being fever-free for 24 hours without the use of fever-reducing medications.
Does your child have any new, unusual or worsening symptoms as listed? List 1: Does your child have any 2 of these symptoms? Fever (100.4 F or greater) or chills? Cough? Shortness of Breath or Difficulty breathing? Loss of smell or taste? Sore throat? Congestion or runny nose? Nausea or vomiting? Diarrhea?
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This form was created inside of Shajara Tayyiba.