YMHS COVID-19 Student Health Screen Form
CHECK SYMPTOMS DAILY- DO NOT COME TO SCHOOL IF YOU HAVE ANY OF THESE SYMPTOMS
Email address *
Your Name: *
Date: *
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Fever 100.4°F or above *
Cough *
Shortness of breath or difficulty breathing *
Chills *
Muscle or body aches *
Sore throat *
New loss of taste or smell *
Nausea or vomiting *
Diarrhea *
Since you last cohort day, have you be in contact with anyone diagnosed with COVID-19? *
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