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COVID-19 Daily Symptom Checker.8.24.2021

The Los Angeles County Public Health Officer and California Department of Public Health require students in Los Angeles County schools to complete a daily COVID-19 symptom checker before entering campus. Students and families must use the school district's screening tool online or by scanning a QR code, which will display a green screen if the student is symptom-free. Alternatively, parents can complete a paper questionnaire listing symptoms and potential exposure. Any student experiencing symptoms or exposure should not come to school and parents should contact the school office.

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Rahul Madhu
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47 views1 page

COVID-19 Daily Symptom Checker.8.24.2021

The Los Angeles County Public Health Officer and California Department of Public Health require students in Los Angeles County schools to complete a daily COVID-19 symptom checker before entering campus. Students and families must use the school district's screening tool online or by scanning a QR code, which will display a green screen if the student is symptom-free. Alternatively, parents can complete a paper questionnaire listing symptoms and potential exposure. Any student experiencing symptoms or exposure should not come to school and parents should contact the school office.

Uploaded by

Rahul Madhu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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COVID-19 Daily Symptom Checker for Students

The Los Angeles County Public Health Officer and the California Department of Public Health (CDPH) require that a daily
Covid-19 symptoms check be conducted for each student every morning before coming to school and entering
campus. The COVID-19 Daily Symptom Checker for Students must be completed whether your child has symptoms or
not. Students and families must use the TUSD COVID-19 screening tool by going to https://c19.tusd.org or scanning the
QR code.

Once all questions are answered, a green screen will indicate the student is symptom free with a date and time stamp.
Please show the green screen to staff members while dropping off your student. If you or your child does not have a
smartphone in possession at the time of entry on campus, parents/students must complete the questionnaire below.

Your child should not come to school if you answer YES to any of the questions below.

Student’s First and Last Name _______________________________________ School _________________


Parent/guardian name _______________________________________
Parent/guardian phone (_____) _____________________ Email address ______________________________

1. Does your child have any of the following symptoms?


☐ Fever of 100.4 degrees or higher
☐ New cough (different from baseline)
☐ Diarrhea
☐ Vomiting

☐ No Student has no COVID-19 symptoms

If your child has symptoms that are not consistent with possible COVID-19 infection but there is still concern, evaluation of
the child by a medical provider is recommended.

2. Has your child been diagnosed with COVID-19 or asked by a health care provider to be tested for COVID-19 in
the past 10 days?
☐ Yes ☐ No

3. Has your child been in close contact (less than 6 feet for 15 minutes or more over a 24-hour period) or live in a
household with someone who has been diagnosed with COVID-19 or someone who has been told by a health
care provider to be tested for COVID-19 in the past 10 days?
☐Yes ☐ No

If you answered YES to any of the questions, PLEASE CONTACT THE SCHOOL OFFICE PRIOR TO BRINGING
YOUR CHILD TO CAMPUS.

Parent/Guardian Signature: __________________________________________Date: ___________________________


Staff Signature: ____________________________________________________Date: ___________________________

Updated 8/24/2021

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