CONSENT TO COVID TEST
The Fairfield Independent School District takes the health and safety of our students and their families very seriously. As such, in addition to steps to screen for the virus and prevent its spread on a campus, we are adding a voluntary K-12 COVID-19 testing program for students. This program uses Abbott Laboratories BinaxNOW tests provided by the federal government. We will only test with your consent. If you are willing to provide consent for us to administer this test on your child or yourself (if student/staff age 18 or older), please fill out this form.

What is the test?
If the patient is symptomatic or part of a group that is designated for testing, the patients will receive a free BinaxNOW rapid test for the COVID-19 virus. Collecting a specimen for testing involves using a swab, similar to a Q-Tip, placed inside the tip of the nose. A school staff member who has been trained to use this test will collect the specimen and a trained COVID-19 test administrator will oversee the process. Test results will be made available to the patients/parent/guardian who signs this form below. The results will be sent by text message and email within 24 hours of the test.

Known Symptoms:
People with COVID-19 have had a wide range of symptoms reported - ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

Feeling feverish or a measured temperature greater than or equal to 100.0 degrees Fahrenheit
Loss of taste or smell
Cough
Difficulty breathing
Shortness of breath
Fatigue
Headache
Chills
Sore throat
Congestion or runny nose
Shaking or exaggerated shivering
Significant muscle pain or ache
Diarrhea
Nausea or vomiting

This list does not include all possible symptoms.

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