Trinity COVID-19 Screening
Email address *
Child's First Name *
Child's Last Name *
In the previous 14 days have you or your child had contact with someone with a confirmed diagnosis of COVID-19? *
In the previous 14 days have you or your child had contact with someone who is under investigation for COVID-19; or is ill with a respiratory illness? *
In the previous 14 days have you or your child traveled internationally to countries with widespread, sustained community transmission (China, Europe, Iran, Ireland, Malaysia,South Korea or the United Kingdom: England, Scotland, Wales, and Northern Ireland)? *
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