Group A:   1 or more symptoms

Group B:   2 or more symptoms

☐Fever (100.0 or higher)

☐ Cough (new uncontrolled cough that causes difficulty breathing, for students with chronic allergic/asthmatic cough, a change in their cough from baseline)

☐ Shortness of breath

☐ Difficulty breathing*

☐ Diarrhea

☐ Vomiting

☐ Sore throat

☐ Runny nose/congestion

☐ Chills

☐ New lack of smell or taste

☐ Muscle pain

☐ Nausea

☐ Headache

*If coughing, does the student have asthma? If so, follow his/her asthma action plan. If the student is having severe difficulty breathing, shortness of breath, difficulty speaking, or lips are blue, call 9-1-1. 

Situation

Returning to School

☐ The student has symptoms that could be COVID-19 and who are not evaluated by a medical professional or tested for COVID-19 

A student showing any symptoms must be kept home for at least 24 hours without symptoms.  A child may not return to school if he/she still has symptoms.

☐ The student tests positive for COVID-19.

Per Ohio order, parents must notify the school of COVID 19 test results within 24 hours of receiving the results for both remote and in-person learners.  The report can be made by calling the child’s school attendance line. 

1. At least 24 hours have passed since the resolution of fever without the use of fever-reducing medications AND;

2. The individual is free of symptoms AND;

3. At least ten days have passed since symptoms first appeared

☐ The student or anyone the child is living with has a diagnosed case or suspected case of COVID 19 

The student may not return to school for 14 calendar days since the last day of exposure to the diagnosed or suspected person.  

☐ A student has symptoms that could be COVID-19 and wants to return before completing the stay at home period. 

(a) Medical professional complete this form clearing the individual to return based on an alternative diagnosis

OR

(b) Receive two separate confirmation tests at least 24 hours apart that they are free of COVID-19 from an approved COVID-19 testing location

☐Had close contact (within 6 feet, of cumulative time, for at least 15 minutes) with a person with confirmed COVID-19 or a suspected case of COVID 19.

The student may not return to school for 14 calendar days since the last day of exposure to the diagnosed or suspected person.