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Belmont Public Schools
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FAMILY/STUDENT DAILY SYMPTOM CHECKER
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All BPS families are required to review Part 1, 2, and 3 of this symptom checker before your student(s) leave for school:
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SYMPTOMS PART 1
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Has your child developed ANY 1 of the following symptoms within the past 24 hours?YESNO
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Fever (100ºF or greater) or chills, or have taken medication within the past 24 hours to lower their temperature (Tylenol/Motrin)
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DIfficulty breathing or shortness of breath
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New loss of taste or smell
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Muscle or body aches (unrelated to physical activity/injury)
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Cough (not due to other known cause, such as a chronic condition)
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If you answered YES to any of the above questions in Part 1:
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Please keep your child home
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Complete your school's Absent Form for why your child will be out of school (see links below)
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Contact your child's healthcare provider (HCP) for further evaluation and get a PCR test
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OR
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SYMPTOMS PART 2
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Has your child developed ANY 2 of the following symptoms within the past 24 hours?YESNO
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Sore throat
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Nausea (feeling sick to stomach)
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*Vomiting
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*Diarrhea
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Headache
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Fatigue
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Nasal congestion or runny nose (not due to other known causes, such as allergies)
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If you answered YES to any 2 of the above questions in Part 2:
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Please keep your child home
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Complete your school's Absent Form for why your child will be out of school (see links below)
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Contact your child's healthcare provider (HCP) for further evaluation and get a PCR test
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OR
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RISK FACTORS PART 3
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PLEASE ANSWER QUESTIONS BELOWYESNO
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Has your child been diagnosed with COVID-19 by a healthcare provider in the past 10 days?
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Has your child been identified as a Close Contact and NOT participating in the BPS Test and Stay Program?
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Has your child been identified as an "in school close contact" and experiencing any COVID symptoms and CURRENTLY being tested for 7 days in the BPS Test and Stay Program?
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Has your child been directed by your local health department to self-quarantine in the past 14 days?
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Does your child have a COVID-19 test pending (other than a test done at school)?
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If you answered YES to 1 or more questions in PART 3
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Please keep your child home AND call/email your school nurse
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Complete your school's Absent Form below
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Contact your child's healthcare provider (HCP) for further evaluation
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*Please note, vomiting or diarrhea are reasons to keep your child home as they may be signs of another infectious disease process
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Burbank Absence Form
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Butler Absence Form
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BHS Absence Form
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Chenery Absence Form
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Wellington Absence Form
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Winn Brook Absence Form
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Helpful Links: Return to School doc Scenarios
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Adapted from the Daily Symptom Checker New Richmond, WI School System 9/5/21
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