• Fever? (100.4º F or greater) • Cough?  

• Shortness of breath? • Difficulty breathing? • Loss of smell or taste? 

COVID-19 Screening Tool  for Families 

Parents and guardians, use this checklist every day before sending  your children to school.  

If you answer “YES” to one or more questions, you must keep your child  home from school today. 

Does your child have any new, unusual, or worsening symptoms  as listed in Box One and Box Two below? 

Box 2 

• Vomiting or diarrhea? 

• Headache?  

• Sore throat?  

• Runny nose and/or congestion? 

• Body aches and/or tiredness? 

Does your child have at least 1 of these symptoms?  YES NO 

Does your child have at least 2 of these symptoms?  YES NO 

If the answer to any of the questions above is “yes”, keep your child home and consult your primary care physician.  If a doctor determines that the symptoms are due to another diagnosis, or COVID-19 is ruled out, your child may return to  school after being fever-free for 24 hours without the use of fever-reducing medications. 

YES NO 

In the last 10 days, has your child been identified as a close contact of anyone who has had   a positive COVID-19 diagnostic test? 

If the answer to this questions is “yes”, your child must stay home to quarantine for at least 10 days from the last  exposure to the close contact unless symptoms appear (see section above regarding symptoms in Box 1 and Box 2. 

Report any confirmed or suspected cases: 

In the City of Detroit: 

Detroit Health Department  

Main Communicable Disease Line: (313) 876-4000 After Hours Call Center: (313) 876-4000 

01.07.21

Outside the City of Detroit: 

Wayne County Public Health Division Main Communicable Disease Line: (734) 727-7078  After Hours Call Center: (734) 727-7284 

Mary Roman: mroman@waynecounty.com • (734) 727-7150 Nnenna Wachuku: nwachuku@waynecounty.com • (734) 727-7253 Lukas Ayers: layers@waynecounty.com • (734) 727-7076 

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