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COVID-19 Mandated Daily Screening

Per guidance from the Governor's Office regarding Phase 4 - re-openings, mandatory daily health screenings are required to be completed DAILY by any employee, vendor or visitor entering a school facility. Please complete the following survey. If your response is "yes" to ANY of the below questions, DO NOT ENTER THE BUILDING until further notice, answers will be reviewed by the school nurse and district administration daily in order to ensure full compliance with the Governor's regulations.

 

*All fields are required

 

Name:

Reason for visit:

Today's Date:

Have you traveled internationally in the past 10 days?  

 

 

If yes, after arrival in the U.S. travelers must either quarantine for 7 days with a test 3-5 days after travel, or quarantine for the full 10 days without a test. This requirement applies to all international travelers whether they were tested before boarding, are recovered from a previous COVID infection, or are fully vaccinated.


< health.ny.gov >

 

Have you knowingly been in close or proximate contact in the past 10 days with anyone who has tested positive for COVID-19?
Have you tested positive for COVID-19 in the past 10-days?
Please check your temperature. Is it 100.0 F degrees or GREATER? If so, do not enter the building. Thermometers are available at the main offices.

Are you exhibiting any COVID-19 related symptoms?

 

 • Fever or chills  • New loss of taste or smell 
 • Cough, Shortness of breath or difficulty breathing  • Sore throat, Congestion or runny nose and/or
 • Fatigue  • Nausea, vomiting, or diarrhea
 • Headache, muscle or body aches  

Are you fully vaccinated and have you been fully vaccinated for 14 or more days?

(you must meet both conditions to answer Yes)

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P.O. Box 13314, Albany, NY 12212-3314 • 518.344.7022 • 518.344.7454 (fax) • 888.999.2554 (toll free) • www.edvistas.com