MJDS Daily Screening Tool : Should I stay home?
This daily pre-screening tool must be completed once for each child or adult entering the building, and is to be completed at least 15 minutes before entering. In the event that a "yes" is identified or a temperature of 100 degrees Fahrenheit or above is measured, please call the front office, 414-964-1499, or email
, to notify of absence. Follow up with your pediatrician and/or primary care physician as necessary.
FIRST Name of Student/ Staff / Visitor
LAST Name of Student/ Staff / Visitor
Student / Staff / Visitor Specification
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This form was created inside of Milwaukee Jewish Day School.