Health Screening Checklist

Page 1

Health Screening Checklist for Families PART 1 YES

NO

Has your child been in close contact with anyone who tested positive for COVID-19 or was diagnosed with COVID19 in the last 14 days? Has your child been diagnosed with COVID-19 by a health care provider in the last 10 days? Has your child developed any of the following symptoms in the last 24 hours? Cough Shortness of breath/trouble breathing New loss of sense of taste or smell Has your child taken medication in the past 24 hours to lower temperature (Tylenol, ibuprofen)?

If your child answered YES to any of the above questions, the child should remain at home. If your child answered NO to all of the above questions, proceed to Part 2.

PART 2

Has your child developed any of the following symptoms in the last 24 hours? YES

NO

YES

Sore throat

Headache

Unusual fatigue

Muscle or body aches

Nausea or vomiting*

Fever* (> 100.4 F) or chills

Runny nose or nasal congestion

Diarrhea*

NO

If your child answered YES to 2 or more of the above, the child should remain at home. If your child answered YES to 0 or 1 of the above, the child may go to school. *Vomiting, fever or diarrhea — alone or together — should exclude a child from school. However, they do not necessarily indicate the need to test for COVID-19 or COVID-19 isolation. Regardless of the learning environment, parents are asked to contact the attendance office if their student is ill and unable to attend in-person instruction or complete remote/e-learning sessions. D.C. Everest School District | FutureReady Restart Working Together to Stay Healthy


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