Sample Return to School Attestation Form

Sample Return to School Attestation Form

September 2nd, 2020 | COVID Return to SchoolCOVID-19Covid Pediatrics

This form is for use for patients who were evaluated due to a positive screen for COVID symptoms. After careful consultation and review, we are recommending that this form be released to a parent/guardian once the child has had a minimum of one evaluation with a healthcare provider and a documented negative PCR COVID test result. The parent/guardian will be responsible for daily symptom monitoring (the same he same daily monitoring that they will do for required symptom pre-screening for school) and the child may return to school once symptom free for 24 hours.

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