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Date of Absence
What is the reason for your child's absence?
Does your child have a fever
Yes
No
If yes, what is your child's temperature?
Have you been in contact with anyone with COVID-19 in the past 14 days?
Yes
No
In the past 24 hours has your child experienced any of these symptoms?
Persistent cough
Shortness of breath
Sore throat
Body aches
Fever
Chills
Diarrhea
Headache
New loss of taste/smell
None of these
Have you travelled overseas in the last two weeks?
Yes
No
Submit
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Absence/Sick Child Report
(per CDC guidelines)
Child's Name
Email address
Are there any other symptoms to report
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