Return to School

Attestation Form

Simcoe Muskoka District Health Unit  - This form may be used by individuals (parents/guardians of students, staff, and visitors) to demonstrate compliance with health and safety requirements related to COVID-19, to return to school. Everyone has a responsibility to help reduce the spread of COVID-19 in our community, including following these requirements.

Individual (student, staff or other) has been away from school due to symptoms compatible with an SMDHU assessment tool recommendation to ‘Visit assessment centre for testing and/or seek medical advice, if required’

By completing and signing this form, the individual named above (or the individual’s parent/guardian) agrees and confirms that all criteria has been met for at least ONE of the following situations:

  • Had a negative COVID-19 test result

  • Symptoms have been improving for at least 24 hours

  • Has NOT been identified as a close contact of a person that has tested positive for COVID-19

  • Has received an alternative diagnosis that is non-infectious, OR

  • Has received an alternate diagnosis that is infectious AND symptoms have been improving for at least 24 hours

  • Has remained home for 10 days from the onset of symptoms

  • Symptoms have been improving for at least 24 hours

  • Has completed 14 days of isolation since the last time I was exposed

  • Had a negative COVID-19 test result (recommended, not required)

  • Has completed 10 days of isolation after the onset of symptoms

  • No longer has a fever

  • Symptoms have been improving for at least 24 hours

  • Has completed 14 days of isolation since the last time exposed to the ill person

  • Had a negative COVID-19 test result (recommended, not required) and remains asymptomatic