COVID-19 Health Declaration Form 3.02021-02-22T09:17:00-05:00

COVID-19 Pre-Screening Form

    1. Does the child live and/or go to school/child care in Toronto or Peel Region?

    2. Is the child currently experiencing any of these symptoms?

    3. In the last 14 days, has the child travelled outside of Canada?

    4. In the last 14 days, has the student/child been identified as a close contact of someone who currently has COVID-19?

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

    6. In the last 14 days, has the child received a COVID Alert exposure notification on their cell phone? (If they already went for a test and got a negative result, select No.)

    7. Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms?

    Results of Screening Questions

    If you answered YES to question 1 (living in Toronto or Peel Region) and the child
    has any of the symptoms included under question 2 do not go to the studio.

    • The student/child 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 they need
      a COVID-19 test
    • Check with your school/child care provider or your local public health unit to see if siblings or
      other people in your household without symptoms should isolate and for how many days. The rules are different in certain parts of the province because of local risk factors.
    • Contact your school/child care provider to let them know about this result

    If you answered YES to two or more of the symptoms included under question 2, or to having
    fever and/or chills, cough or barking cough, shortness of breath, decrease or loss of taste or
    smell do not go to school or child care.

    • The student/child 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 they need
      a COVID-19 test
    • Check with your school/child care provider or your local public health unit to see if siblings or
      other people in your household without symptoms should isolate and for how many days. The rules are different in certain parts of the province because of local risk factors.
    • Contact your school/child care provider to let them know about this result

    If you answered YES to having only one of sore throat/difficulty swallowing, runny/stuffy/
    congested nose, headache, nausea, vomiting/diarrhea, extreme tiredness/muscle aches
    do not go to school or child care.

    • The student/child should isolate (stay home) for 24 hours and not leave except for a medical
      emergency.
    • Talk with a doctor/health care provider to get advice or an assessment, including if they need
      a COVID-19 test.
    • After 24 hours:
      • If their symptom is improving, they can return to school/child care when they feel well
        enough to go. They do not need to get tested.
      • If their symptom is persisting, worsening, or they are developing new symptoms, continue to stay home and talk with a doctor/health care provider for more advice, including if they need a COVID-19 test.
    • Check with your school/child care provider or your local public health unit to see if siblings or
      other people in your household without symptoms should isolate and for how many days. The rules are different in certain parts of the province because of local risk factors.
    • Contact your school/child care and let them know about this result.

    If you answered YES to question 3 or 4 do not go to school or child care.

    • The student/child should self-isolate (stay home) for 14 days and not leave except to get tested
      or for a medical emergency.
    • Follow the advice of public health. They can return to school/child care after they are cleared
      by your local public health unit.
    • If they develop symptoms, contact your local public health unit or doctor/health care provider
      for more advice.
    • Check with your school/child care provider or your local public health unit to see if siblings or
      other people in your household should isolate and for how many days. The rules are different
      in certain parts of the province because of local risk factors.
    • Contact your school/child care provider to let them know about this result.

    If you answered YES to question 5 or 6 do not go to school or child care.

    • The student/child should self-isolate (stay home) and not leave except to get tested or for a
      medical emergency.
    • If you answered YES to question 5, visit an assessment centre to get them a COVID-19 test.
      • If they test negative (they do not have the virus), they can return to school/child care.
      • If they test positive (they have the virus), they can return only after they are cleared by your local public health unit.
    • If you answered YES to question 6, follow the advice of public health. They can return to
      school/child care after they are cleared by your local public health unit.

      • If they develop symptoms, contact your local public health unit or doctor/health care provider for more advice.
    • Check with your school/child care provider or your local public health unit to see if siblings or
      other people in your household should isolate and for how many days. The rules are different
      in certain parts of the province because of local risk factors.

    If you answered NO and None of the above to all the questions, your child may come to the studio!