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STUDENT Health Screening Attestation Form rev 2/1/2021 Student Name: Date: Parent/Guardian Name: The Office of the Superintendent of Public Instruction (OSI) and Local Health Authority requires that
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How to fill out student health screening attestation

01
Start by accessing the student health screening attestation form online.
02
Enter the required personal information such as your name, student identification number, and contact details.
03
Answer the health screening questions by selecting the appropriate options or providing necessary details.
04
Ensure that you are accurately reporting your health status and any symptoms you may be experiencing.
05
Review the filled information for any errors or omissions.
06
Once you are satisfied with the provided information, submit the completed attestation form.
07
Keep a record of the confirmation or receipt provided after successful submission.

Who needs student health screening attestation?

01
Any student who is attending an educational institution or participating in on-campus activities may need to fill out a student health screening attestation. This requirement is typically in place to ensure the safety and well-being of the entire campus community by identifying potential health risks or symptoms that need to be addressed.
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Student health screening attestation is a form or document where parents or guardians report on their child's health status and agree to follow health protocols.
Parents or guardians of students are required to file student health screening attestation.
Parents or guardians can fill out student health screening attestation by providing accurate information about their child's health status and agreeing to follow health protocols.
The purpose of student health screening attestation is to ensure the health and safety of students by monitoring their health status and adherence to health protocols.
Information such as the student's temperature, symptoms, exposure to COVID-19, and agreement to follow health protocols must be reported on student health screening attestation.
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