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Student Covid-19 Screening

Please complete the form below. Required fields marked with an asterisk *
Has your student had a fever of 100.4 or higher during the past week?*
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Has your student been coughing or has unusual shortness of breath?*
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Has your student been tested for the Covid19 virus and what was the result of that test?*
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Have you or your student traveled to a country with a CDC level 3 warning (https://wwwnc.cdc.gov/travel/notices) China, Iran, South Korea, Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, Switzerland, Monaco, San Marino, United Kingdom or the Vatican City?*
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Have you or your student been exposed to anyone who has tested positive for Covid-19?*
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