Please carefully read and sign the following Informed Consent:
a. I authorize SOWIB to add the information I have provided to the SOWIB Quest Portal where I may order COVID-19 test.
b. I authorize my test results to be disclosed to the county, state, or to any other governmental entity as may be required by law. If my employer has requested and paid for the test, I understand my test results will also be shared with my employer.
c. I acknowledge that a positive test result is an indication that I must self-isolate and wear a mask or face covering as directed in an effort to avoid infecting others.
d. I understand the testing portal is not acting as my medical provider, this testing does not replace treatment by my medical provider, and I assume complete and full responsibility to take appropriate action with regards to my test results. I agree I will seek medical advice, care and treatment from my medical provider if I have questions or concerns, or if my condition worsens.
e. I understand that, as with any medical test, there is the potential for a false positive or a false negative COVID-19 test result.
I the undersigned, have been informed about the test purpose, procedures, possible benefits and risks, and I have a received a copy of the attached informed consent document. I voluntarily agree to have my information submitted to Quest Diagnostics Portal.