City of Evanston - Health & Human Services

INFECTIOUS/COMMUNICABLE DISEASES

Education, monitoring and follow-up of all reportable communicable disease is provided to prevent the spread of infectious diseases in the community.

School Reporting Form

Email:

Week Ending:

School:

Current Enrollment:

Number Absent:

Chicken Pox:

Flu-Like Illness:

number of cases

Count as Flu-Like Illness any child with pneumonia or fever and any of the following sypmtoms: sore throat, cough,

Submitted By:

Telephone: