School-based screening (also called monitoring) testing is being planned at Madrid-Waddington Central School and may be made available to the students whose parents/guardians have provided consent. This is for both vaccinated and unvaccinated individuals.

*Only students whose parent/guardian has provided this signed consent form will be tested. *

Please carefully read the following informed consent:

1. I Authorize this COVID-19 testing unit to conduct collection and testing for COVID-19 on my child through a nasal or cheek swab, as ordered by a medical provider or public health official.

2. I authorize my child's test results to be disclosed with the school, county, state, or to any governmental entity as may be required by law.

3. I acknowledge that a positive test result is an indication that my child must self-isolate in an effort to avoid infecting others.

4. I understand that I am not creating a patient relationship with St. Lawrence County Public Health Department or Madrid-Waddington Central School  by having my child participate in testing. I understand that the testing unit is not acting as my child's medical provider. Testing does not replace treatment by a medical provider. I assume complete and full responsibility to take appropriate action with regards to my child's test results. I agree I will seek medical advice, care and treatment from my child's medical provider if I have questions or concerns or if my child's condition worsens.

5. I understand that, as with any medical test, there is the potential for false positive or false negative test results.

6. I, undersigned, have been informed about the test purpose, procedures, possible benefits and risks. I have been given the opportunity to ask questions before I sign, and I have been told that I can ask other questions at any time. I voluntarily agree to my child testing for COVID-19.