COVID-19 ANTIGEN TESTING CONSENT FORM
I consent to participate (or have my child(ren) participate) in COVID-19 antigen testing, which is being conducted by The Potomac School.
I understand that a nasal swab will be performed for the COVID-19 antigen test and I have been made aware of the minimal risks associated with this, including discomfort, bleeding, sneezing, and coughing. The information that I have received is sufficient for me to consent and authorize the collection of the specimens.
I understand that my child's individual results are confidential but may be reported to state and federal agencies due to regulatory mandates. No other individual or entity outside of The Potomac School will have access to my individual test results without my authorization or as allowed by law.
I understand the test results are for informational purposes only and are NOT a medical diagnosis. It is my sole responsibility for initiating any follow-up examination with my primary doctor to discuss any questions, to have the meaning of the test explained, to review and interpret my results and to obtain medical advice. The Potomac School has no such responsibilities.
I release The Potomac School from any and all liability arising from the collection of my COVID-19 antigen testing and the reporting of information concerning such analysis by The Potomac School.
I, the participant named above, or the parent/guardian for the participant(s) named above, have read, understood, and agree to the terms of this COVID-19 Antigen Testing consent form. No attempts by the participant, or the parent/guardian of the participant(s), to modify or amend this form and change its terms in any way will be binding upon The Potomac School.