By completing this form and returning it to my school, I confirm that I am a parent or guardian of the student listed above, and that I consent to allow testing of my student for COVID-19 by a self-administered, shallow nose swab during the 2020-2021 school year. COVID-19 testing may be offered to students in two circumstances: (1) if my student develops new symptoms of COVID-19 while at school; and (2) if my student is exposed to COVID-19 in my school group and the local public health department recommends testing. I understand I may consent to one or both types of testing. I understand that COVID-19 testing for the students is optional and I may refuse to give consent, in which case, my student will not be tested, I understand that my student must stay home from school if they feel unwell. I understand that the school is not acting as my students's health care provider, this testing does not replace treatment by my student's health care provider, and I assume complete and full responsibility to take appropriate action regarding my student's test results. I understand that it remains my responsibility to seek medical advice, care and treatment for my student from their health care provider. I understand that there is a possibility of a false negative COVID-19 test result and that my student could be infected with COVID-19 even if the test result is negative, I also understand that if my student tests positive for COVID-19, the test may be reported to the local public health authority as required by law. Personal health information will not be released without written consent except when required by law. *
