This screening form is for visitors that will be going onsite to a Carmel CSD school or building.

As we continue to adapt to the COVID-19 pandemic, the health and safety of our school district community remains our top priority.

To ensure the health and safety of our school district community, it is paramount that authorized personnel at Carmel CSD receive the most accurate health-related information.

In order to facilitate this process, we kindly ask for you to fill out these COVID-19 Screening Questions as accurately as possible.

Once you complete the questions, please click "Submit" at the bottom.
 
*Contact Type:
 
Contact ID:  
*First Name:
 
*Last Name:
 
*Phone Number:
 
*Email:
   
*Confirmation Email:
   
*School:
 

During the past 14 days, have you experienced any symptoms of COVID-19, including a temperature of greater than 100.0 F?
  • Fever or Chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea
If you have not had both COVID-19 vaccines during the past 10 days, have you knowingly been in close contact with anyone who has tested positive through a diagnostic test for COVID-19 or who has or had symptoms of COVID-19? (Individuals must continue daily symptom monitoring through Day 14)

During the past 10 days, have you tested positive through a diagnostic test for COVID-19? (Individuals must be fever free for 72 hours and have a reduction in symptoms before returning to school/work with approval from a Physician)

Are you awaiting the results of a Covid-19 test due to symptoms or exposure?

Are you experiencing any of the symptoms or scenarios above?