Hudson Falls School District > District > COVID-19 Updates and Information > Suspected COVID Return to School Form

Suspected COVID Return to School Form

View or download this form as a PDF: Suspected COVID Go Home Form

Name: ______________________________ Grade: _____ Date: _____________    Time: ________

The following has presented to the School Nurse with the following symptoms that are consistent with COVID-19: 

Fever of  ________ Cough____ Shortness of breath or difficulty breathing____Fatigue/Tired____ Muscle/Body Aches____ Headache____ New loss of taste or smell____Sore throat____Congestion or runny nose____ Nausea/vomiting/Diarrhea____   Other: _______________________________________________________________    

Per NYSDOH students/staff, MUST be seen by a medical provider and COVID-19 test results must be received within 48 hours. After 48 hours, the symptomatic individual will be deemed POSITIVE for COVID-19 per NYSDOH.

A  NEGATIVE COVID – 19 DIAGNOSIS

HAS SYMPTOMS OF POSSIBLE COVID-19 ILLNESS, BUT IS DETERMINED NOT TO HAVE COVID-19 BY A HEALTH CARE PROVIDER (MD, NP, Physician Assistant) CAN RETURN TO SCHOOL WHEN

      • There is no fever, without the use of fever-reducing medicines, for at least 24 hours; 
      • There has been a lab-confirmed diagnosis of an alternate condition AND a note explaining alternate diagnosis is received. 
  • If no alternate diagnosis: COVID testing is required. Test results must be received in 48 hours from symptom onset. Rapid negative Antigen test is not acceptable when a symptomatic person is a high suspicion for COVID (Direct contact in past 14 days with a positive, travel to an area on the advisory list in past 14 days, the new loss of smell/taste, shortness of breath, provider determination after evaluation.) 
  • If the above is not received in 48 hours, per NYSDOH the symptomatic individual is deemed POSITIVE for COVID-19, and Washington County Public Health will be notified. All documentation  MUST be given to the school nurse BEFORE riding the bus or entering the building.                                                                                       

B   POSITIVE COVID – 19 DIAGNOSIS

 IS DIAGNOSED WITH COVID-19 BY A HEALTH CARE PROVIDER BASED ON A TEST OR THEIR SYMPTOMS, THEY SHOULD NOT BE AT SCHOOL AND SHOULD STAY HOME UNTIL:

  • It has been at least TEN days since the student first had symptoms 
  • It has been at least THREE days since the student has had a fever (without using fever-reducing medicine) AND
  • It has been at least THREE days since the individual symptoms improved, including cough and shortness of breath.

A note from the health care provider stating you are cleared to return to school, along with the formal email release or letter of release of quarantine from Public Health is required. SMS text message release of quarantine is not acceptable.  All documentation MUST be given to the School Nurse BEFORE riding the bus or entering the building.

Contact your health care provider as soon as possible for guidance and if any symptoms become worse,  CALL 911.