Positive COVID Test (PCR or Rapid Home Antigen):

  1. Stay at home for 5 days.  The first day of symptoms or date of positive test is “Day Zero.”

  2. If , on/after day 6, your symptoms are resolving or gone you can leave your home, but must wear a mask for 5 additional days both within and outside of the home.

    •  If you are unable to wear a mask, you must isolate at home for a total of 10 days  

  • If you have a fever on or after day 5, continue to stay home until your fever has resolved for 24 hours

  • Please send a Patient Gateway message to our office for documentation

  • Please note:  a positive rapid antigen test does not need to be confirmed with a PCR or molecular test

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Close Contact of Individual with COVID – Fully Vaccinated   Applies if:

  • Received 3 doses of either the Pfizer or Moderna Vaccine or

  • Received 2 doses of the J+J Vaccine (or 1 J+J and 1 Pfizer/Moderna) or

  • Received 2 doses of either the Pfizer or Moderna Vaccine within the last 6 months

  • Received the J+J Vaccine within the last 2 months

    •  Guidelines:

      • Wear a mask around others (including at home) for 10 days

      • If you are unable to wear a mask, you must isolate at home for a total of 10 days  

      • Test on day 5 (if possible)

      • Positive rapid antigen tests are assumed to be positive and do not need confirmation

      • If you develop any symptoms, get a test ASAP, and stay home

Medical Reasons to call the office for guidance:

  1. Chest pain

  2. Shortness of breath/labored breathing

  3. Concerns for dehydration

  4. Changes in mental status (extreme fatigue, irritability)

  5. Fever (> 101) for more than 72 hours in child younger than 2 years of age

  6. Fever (>101) for more than 5 days in a child 2 years of age or older

Close Contact of Individual with COVID – Not Fully Vaccinated   Applies if:

  • Received 2 doses of either the Pfizer or Moderna Vaccine over 6 months ago and have not been boosted

  • Received 1 dose of the J+J Vaccine over 2 months ago and are not boosted

  • Received 1 dose of either the Pfizer or Moderna Vaccine

  • Not received any COVID Vaccines

 

  • Guidelines:

    • Stay at home for 5 days.  After that, continue to wear a mask around others for 5 additional days

      • If  unable to wear a mask, isolate at home for a total of 10 days

    • If you cannot quarantine, you must wear a mask for 10 days

    • Test on Day 5 (PCR or molecular tests preferred)

      • Negative rapid antigen tests should be confirmed with a PCR or molecular test

      • Positive rapid antigen tests are assumed to be positive and do not need confirmation

    • If you develop any symptoms, test ASAP, and stay home

Please note: the Department of Elementary and Secondary Education (DESE) agrees with the above isolation guidelines (5 days at home, 5 days masked) and does not require a negative test to return to school.  

Cardiac Clearance For Return to Sports Requirements:

  1. Children and adolescents with moderate or severe COVID require cardiac clearance prior to return to physical activity.  The following is a link to guidance from the American Academy of Pediatrics: https://www.aap.org/en/pages/2...

  2. An office visit is required for clearance, at least 10 days after symptoms resolved, if:

    • 5 or more days of fever > 100.4 degrees

    • 7 or more days of muscle aches, chills, or extreme fatigue

    • Hospitalization due to COVID

A Word About Continuous Exposure:

If your exposure is continuous and you are unable to separate from someone who has COVID, you are being exposed to COVID on a daily basis.  This makes the quarantine period longer since your date of last exposure is constantly changing.  For example, if a mother tests positive for COVID and is unable to separate from a baby.  The baby is therefore being exposed to COVID on each day that the mother remains infectious (10 days, assuming mild symptoms).  The baby then needs an additional 10 days of quarantine starting when the mother is no longer assumed to be infectious.  In this scenario, the baby should be tested 5 days after the mother is no longer infectious (day 15 after her diagnosis) and needs to quarantine for 20 days total.

**For information regarding when your child can return to school in any of the scenarios below, we recommend that you contact your child’s school nurse as each school has the ability to adopt different guidelines and quarantine requirements may differ from those posted below. **

** If your child tested positive for COVID on a home test, please contact your child’s school nurse for quarantine guidance and date of return as at home tests do not require a doctor’s note for return to school and excused absences. **

  Please see the CDC Website for instructions on the difference between isolation and quarantine.