register -

Hidden

admin

Hidden

User Role

Hidden

Household

Hidden

Name*

First Last

Hidden

Email

Hidden

Date

Login to the Portal to access the rest of this form

Health screening for...*

Staff
Student
Vendor/Guest

Which Grades will you be in contact with?*

Select Student*

Hidden

Student ID

Hidden

Student Grade

Hidden

Student Name Full

Hidden

Student Name

First Last

Hidden

Status

Company if Vendor | Grade if Substitute

Vendor or Guest Name

First Last

Vendor or Guest Email

Birthday

In the past 10 days, this individual has been tested for the virus that causes COVID-19, also known as SARS-CoV-2?*

No
Yes

Was the test result positive OR are you still waiting for the result?*

No
Yes

In the last 10 days has this individual traveled to a NONCONTIGUOUS state?*

No
Yes

How long was your visit*

Less than 24 hours
More than 24 hours

Have you received a Negative Covid-19 test in the four (4) days since returning to NY?*

Yes
No

Have you received a Negative Covid-19 test within three (3) days prior to your return to NY?*

Yes
No

Did you quarantine for 3 days upon returning?*

Yes
No

Did you receive a negative test on day 4 of your return?*

Yes
No

In the last 14 days, has this individual been designated in contact of a person who tested positive for COVID-19 by a local health department?*

No
Yes

Does this individual currently have (or has had in the last 10 days) one or more of these new or worsening symptoms?*

Hidden

Symptom Total

Hidden

In School Temperature Check

Not taken
Normal
Has Temperature

Today is Tuesday
Upper Schoolers are In-Person

Are you a current HMS Parent/Guardian? You should already have an account?
Login using the email we have on file.

Need to Register for the Portal?
Click Here

Today is TuesdayUpper Schoolers are In-Person

Are you a current HMS Parent/Guardian? You should already have an account? Login using the email we have on file.

Need to Register for the Portal? Click Here

Mandatory Health Screening Questions

Tech Support

Today is Tuesday
Upper Schoolers are In-Person

Are you a current HMS Parent/Guardian? You should already have an account?
Login using the email we have on file.

Need to Register for the Portal?
Click Here