DMS Testing Consent Part 2
Last week you received an email outlining our three testing options for students and staff. These included in school symptomatic testing, weekly pooled testing, and the test and stay program. In order for you to enroll in any of these programs you needed to give consent through the CIC website. Giving consent on this website allows for you to enroll in the program and is required at the state and local level.

However, we do realize that some families may only be interested in parts of these programs. In order for us to get a clear picture of which testing program you want your student to participate in, we need you to fill out the following brief survey to OPT INTO each of the programs. Your student will only participate in the programs that you consent to via this survey.

Remember that before your student will be allowed to participate, you will need to give consent on the CIC Website (https://www.cic-health.com/consent/ma#consent). Please complete one survey per child.

At any point in the year you can contact your student's school should you decide to make any changes to your testing consent program.
Sign in to Google to save your progress. Learn more
Email *
Clear selection
Student's Last Name *
Student's First Name *
Symptomatic testing is used when a student/staff develops symptoms of COVID-19 during the school day; students/staff should not come to school if they are feeling sick while at home. Some symptoms of the virus look identical to other illnesses like the cold or flu, and this test tells us whether a symptomatic student/staff has COVID-19 or not. This is a rapid test, and we receive the results of this test within 15 minutes. I give consent for my student to participate on symptomatic testing.                                                                           *
Pooled Testing helps to minimize disruption to learning by helping us catch potential spread of the virus before it starts. Each student/staff administers the safety check on a weekly basis. Two samples are collected from students/staff during the school day. The first sample will be placed in a group or Pool. The second swab is used only if a pool is positive in order to identify the positive sample in the pool? In almost all cases, it will take less than 24 hours to receive safety check results. Asymptomatic students/staff can continue to come to school while awaiting safety check results; they do not need to quarantine while awaiting results. I give consent for my student to participate in the Routine COVID safety checks. *
Test and stay allows asymptomatic students/staff who have had close contact with a person who tested positive for COVID-19 while at school to stay in school if the student/staff is not showing symptoms. Instead of needing to quarantine and miss school, these students/staff will take a daily rapid test while they remain in school as long as they are not symptomatic and do not test positive. Students/staff participate in test and stay for seven days after they may have been exposed. I give consent for my student to participate in the test and stay program. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Douglas Public Schools. Report Abuse
Google Forms