Consent for Rapid Testing
Rochester School for the Deaf is seeking your consent to test your child for COVID-19. If you consent, your child may receive a free diagnostic test for the COVID-19 virus that will be administered by one of trained nurses. Testing may be recurring and this consent will last for the remainder of the school year.
A rapid COVID-19 test will be used, which will involve inserting a small swab, similar to a Q-Tip, into the front of the nose. (We are not using the long-swab test that goes to the back of the nose).
We will notify you immediately if your child tests positive for COVID-19. Any students who test positive will be sent home and must be kept at home until meeting Monroe County Health Department criteria to return to school.
Please be advised that the law requires and/or allows some information about your child to be shared with Monroe County and New York State Public Health Agencies. This includes notifying the Monroe County Health Department about the COVID-19 results of each student who is tested, including the student’s name, date of birth, race, ethnicity, gender, address, phone number, and result of the COVID-19 test.
If consent is not given, which is your choice, your student will need to transition to our distance learning program.
PARENTS AND GUARDIANS: PLEASE COMPLETE A SEPARATE FORM FOR EACH OF YOUR CHILDREN.
Student's First Name
Student's Last Name
I give my consent for my child to be tested for COVID-19 at school, per the Governor's Order.
By entering my name below, I agree that my answers above are true.
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This form was created inside of Rochester School for the Deaf.