COVID-19 Screening Instrument

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COVID-19
Symptoms Screening Form

The following is a symptom assessment tool that has been developed by the Oklahoma State Department of Health to help determine when students should be kept home or sent home from school and/or tested for COVID-19.

"A" Symptoms

"B" Symptoms

Fever > = 100.4 F

Nasal Congestion/Stuffy Nose

Sore Throat

Runny Nose

Cough

Muscle/Body Aches

Difficulty Breathing

Fatigue

Diarrhea or Vomiting

Chills

New Loss of Taste or Smell

Nausea

 

Loss of Appetite

 

Elevated Temperature <100.4 F

 

New Onset of Severe Headache

Recommend staying home and/or testing when:

Person has 1 "A" Symptom OR

Person has 3 "B" Symptoms