Please select the box that applies best. You may add notes at the end. This form is reviewed by our administration and shared with your program screening staff to facilitate re-entry.
If your child was not ill, but was excluded because a sibling or household member had symptoms, then we have added a new option for that circumstance.
*Please add a note indicating if your child still has symptoms, or if suppressed by medications (i.e. Tylenol, antihistamines, etc.).
If the exclusion is due to another household member's symptoms and that household member does not receive a medical assessment or negative COVID-19 test, then the child must remain at home for a period of 14 days (and subsequently meet screening criteria).