Oscoda Area Schools Facilities Safety Process COVID-19 Workplace Screening
Updated 8/11/20 in accordance with District Health Department # 2's guidelines
Please Enter Your First and Last Name (Last Name, First Name) *
Symptoms Part 1: In the last 14 days, have you developed any of the following symptoms that are new/different/worse from baseline of any chronic illness?: *
Yes
No
New or Worsening Cough
Shortness of Breath or Difficulty Breathing
New loss of taste or smell
Symptoms Part 2: In the last 14 days, have you developed any of the following symptoms that are new/different/worse from baseline of any chronic illness?: *
Yes
No
Chills
Headache
Sore Throat
Runny Nose of Congestion
Muscle Aches
Abdominal Pain
Fatigue
Nausea
Vomiting
Diarrhea
Current Temperature *
DISCLAIMER: This screening tool is subject to change based on the latest information on COVID-19
If you answer YES to any of the symptoms listed in section 1, or YES to two or more symptoms listed in section 2, OR if your temperature is 100.4 degrees or higher, please do not go into work. Self-isolate at home and contact your primary care physician's office for direction. If your doctor does not recommend COVID testing, consult with your supervisor and follow the guidance from the Managing Communicable Disease in Schools document for return to work criteria. If diagnosed as a probable COVID-19 or test positive, call your local health department and make them aware of your diagnosis or testing status. You must also have 24 hours without a fever and improvement in symptoms.
Travel and Exposure: In the past 14 days, have you: *
Yes
No
Had close contact with an individual diagnosed with COVID-19?
Traveled Internationally?
Instructions if You Answer Yes to Any of the Travel and Exposure Questions:
If you answer YES to either of these questions, please do not go into work. Self-quarantine at home for 14 days. Contact your primary care physician’s office if you have symptoms or have had close contact with an individual for evaluation. If you are given a probable diagnosis or test positive call your local health department to ensure they are aware.

For questions, visit www.dhd2.org. Contact the District Health Department No. 2 at (989)345-5020
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