Madera Unified School District COVID-19 Screening Checklist for Visitors
Based on the Febrile Respiratory Illness Health Order, Madera Unified will screen all employees and visitors for signs of respiratory illness accompanied by fever. Anyone who answers yes to any of the screening questions, or has a fever of 100.4 or greater will not be permitted on a Madera Unified facility.

Please complete the following before the visitor may enter the facility.
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Email *
Visitor Name *
School Site
Did the visitor wash his or her hands or use alcohol-based hand sanitizer upon entry? *
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