•  Address:
    44001 Garfield Road
    Clinton Township, MI
    48038
  •  Building Maps

Form

Answer these questions to check if you are allowed to enter a MISD facility.

Travel_in_last_14_days
COVID_19_tested
Contact_with_COVID_19_positive_patients_in_last_14_days

Do you believe you have any of the following symptoms?

(If yes and you are physically working in the office, do not interact with anyone. Contact HR immediately and wait for further instructions)

The MISD maintains the confidentiality of employee’s health information, but may disclose identity of COVID-19 positive individuals to a public health agency. 

Fever
Cough__out_of_the_norm_
Shortness_of_breath_difficulty_breathing
Sore_Throat
Diarrhea
Body_Aches
New_Loss_of_Taste_or_Smell

Note:

Symptom list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.



Items with an asterisk (*) are required