22-23 Student COVID-19 Testing Consent and Release of Records/22-23 Consentimiento para la prueba de COVID-19 del estudiante y divulgación de registros

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Distinctive Schools will continue to offer weekly PCR screening tests for all interested students through our partnership with SHIELD Illinois and Zebra Health.

To register your child for COVID testing, please complete the following forms to provide consent and permit release of records. Please complete a separate form for each child you wish to register.

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Distinctive Schools continuará ofreciendo pruebas de detección PCR semanales para todos los estudiantes interesados a través de nuestra asociación con SHIELD Illinois y Zebra Health.

Para registrar a su hijo para la prueba de COVID, complete los siguientes formularios para dar su consentimiento y permitir la divulgación de registros. Complete un formulario por separado para cada niño que desee registrar.

Student First Name/Nombre del estudiante *

Student Last Name/Apellido del estudiante *

Which Distinctive Schools campus does your student attend?/¿A qué campus de Distinctive Schools asiste su estudiante? *

Grade/Clasificación *

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