Directions for Return to School Form

 Directions for Return to School Form

 

Students and Staff who stay home or are sent home with reported or presenting with COVID-like symptoms need the enclosed form filled out by a healthcare provider. If the healthcare provider does not administer a COVID-19 test an alternative diagnosis must be listed along with a date to return to school with the resolution of symptoms. If a COVID-19 test is administered all siblings in the home should stay home from school until a negative result is obtained. The medical clearance form along with the negative result should be submitted to the school nurse before return to school. If a positive result is obtained, please contact the school principal immediately and follow direction from WCDOH. 

 

1. Tested Positive with Symptoms to any COVID-19 Test:

  • At least 10 days have passed since the first symptom AND a least 24 hours have passed with no fever without fever-reducing medications and improvement of symptoms, AND
  • RETURN TO SCHOOL form from a doctor with a date for the staff/student's return
  • Release from isolation by the WDOH

 

2. Tested Positive Without Symptom

  • At least 10 days have passed since the date of the first positive test, and no symptoms developed AND the RETURN TO SCHOOL/WORK FORM from a doctor with a date for the staff/student's clearance to return to school date. 
  • Release from isolation by the WDOH

               

 3.  Tested Negative and Alternative Diagnosis:

  • At least 24-hours have passed without fever, without fever-reducing medication and other symptoms have improved
  • Alternative Diagnosis from a doctor
  • No fever
  • Must have documentation proving negative PCR test results. AND
  • RETURN TO SCHOOL/WORK FORM from a doctor with a date for the staff/student's clearance to return to school date. 

             

4. Untested with COVID-like symptoms and no alternate diagnosis:

  • At least 10 days have passed since the first symptoms AND at least 24 hours have passed without fever, without fever-reducing medication and other symptoms have improved. AND
  • RETURN TO SCHOOL/WORK FORM from a doctor with a date for the staff/student's clearance to return to school date. 

 

5. Siblings of the student:

  • If the doctor determines a COVID-19 test is needed for the student in question, the siblings must remain home until a negative result is obtained. The results along with RETURN TO SCHOOL/WORK FORM signed by the doctor with a date for the staff/student's clearance to return to school. 

 

****No student will be allowed back to school without this form completed and approved by the school nurse.****

 

Please refer to the decision tree by clicking here if you are unsure if your child can go to school due to any illness. 

Form for Staff