Rio del Mar's COVID Testing Consent Form 22-23

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We need to know exactly what you are consenting to if your child is signed up for testing with Inspire Diagnostics. Thank you for reading through all questions before completing all sections below. Please do this form for every child.

Please enter your name below: Last Name, First Name *

Please enter your child's name: Last Name, First Name

Please enter your child's teacher *

Please enter your child's grade level *

I give my child permission to test with Inspire Diagnostics at Rio del Mar only if there is a classroom Covid Exposure: *

Yes

I give my child permission to test weekly for surveillance testing (This means they have not had a known Covid exposure): *

Yes, please surveillance test my child weekly.

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