RVCSD Student Health Screening
Each school day before your child enters a school or district building, please fill out the form below to assess their wellness. Please note that one form is required for EACH student that will be attending.
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Student First Name *
Student Last Name *
Your child's school building *
In the past 10 days, has your child experienced a fever of 100 degrees or greater, new or worsening symptoms such as cough, loss of taste or smell, shortness of breath, or other COVID-19 symptoms? *
In the past 14 days, has your child received a positive result from a COVID-19 diagnostic test that was administered by a nose or throat swab? (Not a blood test) *
To your best knowledge, in the past 14 days has your child been in close contact (within 6 feet for at least 15 minutes) with anyone while they had COVID-19? *
In the past 14 days, has your child traveled internationally? *
All travelers, domestic and international, should continue to follow all CDC travel requirements.
If you answered yes to any of the questions, please contact your child's school nurse and do not send your child to school.
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