AND they (or the affected household member) do not have any new or worsening symptoms, AND
Please select all boxes that apply. We will only require proof of a) PCR test results if for early return, or b) a doctor's note for diagnosis of an ongoing chronic non-infectious condition for early return or for symptoms that are likely to reoccur.)
This form is reviewed by our administration and shared with your program staff.
If the exclusion is due to another household member's isolation conditions, then the child must remain at home until their sibling or household member meets the conditions for return and the child remains symptom free.
If you have any question about what to select, or the selections do not seem to apply, please do not hesitate to reach out to us at firstname.lastname@example.org.
Our staff may contact you to make clarifications for our records or if we have questions.If you have completed the requirements for clearance your child may return.Be aware that if children recovering from illness (regardless of diagnosis or a negative COVID tests) have returned only for symptoms to worsen or to show unexpectedly, we would need to re-exclude your child on that basis.