Student Vaccination Status Survey
In order to help our school streamline our contact tracing procedures, we are asking that parents provide the information below regarding their students' vaccination status. Our health room staff does have access to student vaccination information through the Maryland Department of Health, but the purpose of this survey is to collect the data in a manner that will make our current contact tracing process more efficient. We want to be able to inform parents in a timely manner about exposures to Covid while at school, and a student’s vaccination status impacts whether or not they are required to quarantine.
Please take a moment to complete this confidential form, if you feel comfortable doing so.
Please submit one form per student. At this time, we only need the information for the student(s) who attend our school. If you have any questions, please contact our nurse, Melissa Hering, at email@example.com.