HVES COVID Antigen Testing Consent Form
March 4, 2022

The Rhode Island Department of Education (RIDE), in collaboration with the Rhode Island Department of Health (RIDOH), is pleased to partner with schools and offer participation in a COVID-19 testing programs.

BY COMPLETING THIS FORM YOU ARE GIVING CONSENT FOR YOUR CHILD TO PARTICIPATE IN ANTIGEN COVID TESTING IN SCHOOL IF YOUR CHILD HAS SYMPTOMS WHILE IN SCHOOL. Antigen testing is rapid testing and we get the results in minutes. This consent will apply for antigen testing through the end of the current 21-22 school year. This is NOT CONSENT for weekly PCR testing. This form is just for antigen testing as needed. If you would like to also participate in weekly testing, please contact the school.

For each testing session, your child will receive one nasal swab. This swab will be run on the COVID-19 Antigen Test Card and the results will be available within minutes. Your child's results will be inputted into the RIDOH testing portal. At school, only the principal and school nurse teacher will have access to the results of the antigen tests. If you have any questions about the antigen testing program you may reach out to the school.
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Student Last Name *
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Cell phone number including area code *
Street Address *
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Zip Code *
Email *
Parent Name as Signature *
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