COVID Screening Form

COVID-19 Screening Forms: 

Use the Self Screening Form as a guide as you self screen your student each morning.

This does not have to be sent to school or physically filled out. This is a reference tool with guided questions. 

Self Screening Form

Spanish Self Screening form.pdf

All face to face students must self-screen before coming to school each morning to mitigate the spread of COVID 19 by answering the questions found on the COVID 19 Daily Self Screening Questionnaire which will be emailed to parents today. 


Do not send your child to school if the student:

  • is awaiting COVID 19 test results,
  • has possible exposure to COVID 19, or 
  • has a recent positive COVID 19 test. 

This information is to be reported immediately using the COVID Student Reporting form listed below for your child's school at which point the school nurse will contact you to let you know when your child can return to school. If you are not able to complete the form, contact your school nurse.