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hospital
CI Daily Health Check
Please fill this form out on a daily basis.
9Questions
hospital
Language
  • English (US)
  • Korean
  • 1

    Introduction

    1. This questionnaire is required by the Ministry of Education (MOE) and is needed to check the health condition of students, faculty, and staff as a preventative transmission strategy connected to COVID-19.
    2. Please fill out this form each morning for seven days before school reopens and continue to do so after the school reopens.
    3. Please note that this form is NOT anonymous; only CI Health Office staff have access to its content. Its content could be shared with MOE/IOE
    4. This form is HIPPA compliant. Please click here for more information: www.hhs.gov

     By proceeding, you acknowledge this above information and agree to the above statements.

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  • 2
    • Faculty or a staff member
    • Pre-K or K student
    • 1st grader
    • 2nd grader
    • 3rd grader
    • 4th grader
    • 5th grader
    • 6th grader
    • 7th grader
    • 8th grader
    • 9th grader
    • 10th grader
    • 11th grader
    • 12th grader
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  • 3
    Please write the name in English (Not in Korean)
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  • 4
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  • 5
    This is where your results will be sent; your confirmation email must be shown at the door daily.
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  • 6
    1 of 9
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  • 7
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  • 8
    1 of 3
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  • 9
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  • 10
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  • 11
    This data will be required by the Public Health Authority for epidemiological investigative purposes.
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  • 12

    Notice

    You answered "Yes" to one or more of the questions above. According to the guidelines of the Ministry of Education, you(your child) should not attend school.

    Please take these measures:

    (1) The current health condition needs you(your child) to stay home. Please cooperate by not attending school.

    (2) This will be marked as an excused absence. Please practice preventive measures of COVID-19 and rest at home until 24 hours after the symptoms disappear without any treatment or medication. 

    (3) If the fever of 38℃ continues, or the symptoms become worse, please call 1339 or contact the local Public Health Center and visit the screening center for medical treatment.

    *If you need any extra support from the CI health office, please call 032-250-5119 or email songdo-healthoffice@chadwickschool.org

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  • 13

    Notice

     

    Please follow the instruction provided by the Public Health Authority, and continue to remain diligent in following the personal hygiene measures. 

    *If you need any extra support from the CI health office, please email songdo-healthoffice@chadwickschool.org

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  • 14
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  • 15

    Notice

    Please be informed that you (your child) can attend school as you (your child) do not have any presenting COVID-19 symptoms.

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