Beginning December 9, Mahomet-Seymour Schools will begin conducting BinaxNOW POC antigen testing, for staff. The testing is being used as one part of District’s overall safety protocols as part of our efforts to maintain a safe environment for our school community.
By signing below, you are indicating that you voluntarily consent to this procedure for the detection of COVID-19 for yourself.
Because of the ongoing public-health crisis, the District is required to share the results of the test with public health authorities. By signing below, you also consent to the disclosure of such information as requested, recommended or required by federal, state, and local public health authorities.
The BinaxNow Antigen test is a rapid test that will provide results in 15 minutes. Test results will be sent by email to the email address entered below, if negative, and by phone call if positive. If the test result is positive, the individual will be required to stay home and self-isolate and follow District and IDPH guidance on the required quarantine and return to school/work protocols.
If you wish to be tested at school, please complete the form below. If we do not have a response from you, and you present with symptoms, no test will be conducted unless you complete a consent, and you will be sent home.
By signing below, you agree to hold harmless, and indemnify the District and its employees and agents from any claims arising out of the participation in the testing, including but not limited to any inaccurate testing results.
If you have any questions about the testing, please contact Mahomet-Seymour District Nurse, Nita Bachman at
nbachman@ms.k12.il.us or (217) 493-0699, or feel free to discuss the proposed testing with your physician, to learn about the purpose, potential risks and benefits of any testing.
*Exposure is defined as being within 6ft of an individual for a total of 15 minutes over a 24 hour period, who tests positive for Covid-19.
**Symptoms may include, but are not limited to: Fever(99.5 or higher per District standards); new onset of moderate to severe headache, shortness of breath, new cough, sore throat, vomiting, diarrhea, abdominal pain from unknown cause, new congestion/runny nose, loss of sense of taste of smell, nausea, fatigue, muscle or body aches.
