Consent for Student Rapid COVID-19 Testing
The Schuylerville Central School District is seeking your consent to test your child for COVID-19 infection. If you consent, your child may receive a free diagnostic test for the COVID-19 virus that will be administered by a certified or licensed medical provider (CNA, LPN, or RN). 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 will notify you 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 Saratoga County Department of Public Health criteria to return to school. Please contact your child’s doctor immediately to review the test results should your child test positive for COVID-19. **Please fill out this form once per every child in your household.**
Email address *
Student First Name *
Student Last Name *
Student Date of Birth *
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School Student Attends *
The law requires and/or allows some information about your child to be shared with Saratoga County and New York State Public Health Agencies. This includes notifying the Saratoga County Department of Public Health 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. By signing below, I attest to all of the following (please check ALL of the boxes below): *
Required
Name of Parent/Guardian Providing Consent: *
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