3-2 Daily Health Check
Please complete this short check each morning and report your child’s information in the morning before your child leaves for school.

If the answer is YES to any question , please do not bring your child to school and contact your medical professional.
Email address *
Child's Name *
Symptoms
If your child has any of the following symptoms, that indicates a possible illness that may decrease the student’s ability to learn and also put them at risk for spreading illness to others.
• Temperature 100.4 degrees Fahrenheit
• Sore Throat
• New uncontrolled cough that causes difficulty breathing (for students with chronic allergic/asthmatic cough, a change in their cough from baseline)
• Diarrhea, vomiting, or abdominal pain
• New onset of severe headache, especially with a fever
• Shortness of breath
• Fatigue
• Muscle or body aches
• New loss of taste or smell
• Congestion or runny nose
• Nausea or vomiting
• Diarrhea
Does your child have any of the above symptoms? *
To the best of your knowledge, in the past 14 days, has your child been in close contact (within 6 feet for at least 10 minutes) with anyone who has tested positive through a diagnostic test for COVID-19 or who has or had symptoms of COVID-19? *
Has your child traveled internationally or from a state with widespread community transmission of COVID-19 per the New York State Travel Advisory in the past 14 days? *
A copy of your responses will be emailed to the address you provided.
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