MCS Student Daily Health Screen
Please complete the health screening each time your child/ren are scheduled for school. Please fill out for each individual child. Given that the health and well-being of our MCS students and families are our main priority, please keep your child/ren home if they have a temperature of >100.4 or are showing symptoms. Please notify the school if you need assistance.
* Required
Please fill in student's name:
*
Your answer
Today's date:
*
MM
/
DD
/
YYYY
Time of temperature check and health screen:
*
Time
:
AM
PM
Temperature recorded:
*
Your answer
Please indicate in your child is showing any of the following symptoms. *If no symptoms are present, select NO SYMPTOMS at the bottom.
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Cough
Shortness of breath or difficulty breathing
Fever
Chills
Muscle pain
Sore throat
Loss of smell or taste
Fatigue
Headache
Runny nose
Nausea
Vomitting
Diarrhea
Diagnosed allergy symptoms
NO SYMPTOMS
Other:
Required
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