Thinnox on Campus

Entrance Disclosure Form

Please complete before entering the school.

*Do you have any of the following (new or worsening):

1.
1. Thinnox Covid Question
1. Thinnox Covid Question
1. Thinnox Covid Question
2. Thinnox Covid Question
2. Thinnox Covid Question
2. Thinnox Covid Question
2. Thinnox Covid Question

3. Have you returned from travel outside Canada in the past 14 days?

4. Have you been in close contact with someone who has confirmed COVID-19 in the past 14 days without wearing appropriate PPE?

5. Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?

6. In the last 14 days, have you received a COVID Alert exposure notification on your cell phone?

Results of Screening Questions

If you answered “YES” to any of the symptoms included under question 1:

• Contact the school to let them know about this result.

• You should isolate (stay home) and not leave except to get tested or for a medical emergency.

• Talk with a doctor/health care provider to get advice or an assessment, including if you need a COVID-19 test.

• Household members without symptoms may go to school/child care/work. Check your local public health unit’s website or call to see if they have different rules based on local risk.

If you answered “YES” to only one of the symptoms included under question 2:

• Contact the school to let them know about this result.

• You should isolate (stay home) for 24 hours and not leave except for a medical emergency.

• After 24 hours if your symptom is improving, you can return to school when you feel well enough to go. You do not need to get tested.

• Household members without symptoms may go to school/child care/work. Check your local public health unit’s website or call to see if they have different rules based on local risk.

If you answered “YES” to two or more of the symptoms included under question 2:

• Contact the school to let them know about this result.

• You should isolate (stay home) and not leave except to get tested or for a medical emergency.

• Talk with a doctor/health care provider to get advice or an assessment, including if you need a COVID-19 test.

• Household members without symptoms may go to school/child care/work. Check your local public health unit’s website or call to see if they have different rules based on local risk.

If you answered “YES” to question 3, 4, 5 or 6:

• Contact the school to let them know about this result.

• You should isolate (stay home) for 14 days and not leave except to get tested or for a medical emergency.

• Talk with a doctor/health care provider to get advice or an assessment, including if you need a COVID-19 test.

check_circleIf you answered “NO” to all questions, you are permitted to enter the Thinnox School.


Public Health Ontario - Contact Tracing

Answering these questions is optional. This information will only be used by Public Health officials for contact tracing. All information will be deleted in 28 days.