EGLINTON  ILLNESS/SYMPTOM LOG - SEPTEMBER 2024/5
We need your help to track symptoms so that we can determine when there are outbreaks or areas of concern needing additional intervention.   Please complete all fields each time your child is not feeling well or is showing symptoms.
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Child's Last Name *
Child's First Name *
Child's Classroom *
My child has the following SYMPTOMS of Illness (check all that apply) *
Required
The symptoms began on:  (date) *
MM
/
DD
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YYYY
Approximate time the symptoms began: *
Time
:
NUMBER of episodes of vomitting in 24 hours 
Number of episodes of diarrhea in 24 hours
DATE of Resolution of symptoms  (if known at this time, if not, please continue to complete log daily until resolved)
MM
/
DD
/
YYYY
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TREATMENT or DIAGNOSIS if medical treatment received
Any other information we may find helpful
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