WP Covid 19 PCR Testing Appointment and Consent Form Logo

  • COVID-19 PCR and Antigen Testing

    Appointment and Consent Form

  • Wellness Pharmacy does not accept insurance for the test. If you would like to submit a manual claim to your insurance you can contact your insurance company. This test has NOT been studied or have accuracy determination for people under the age of 12. Please note, test results will be provided in 6 hours, if the samples provided before 1PM or next business day.
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  •   By Signing in the box below I am stating the following: I understand that my personal information and test results will be shared with the University of Calgary Health.  I understand if the person being tested is under 18 years old, a parent or guardian must be present at testing. I understand that the results of the BD Veritor Plus COVID 19 Rapid Antigen nasal swab test should not be used as the sole determination of the presence or absense of the Covid 19 Virus.   I understand that negative results could be a false negative. I consent to being tested by Wellness Pharmacy Facility  and confirm that I am at least eighteen years of age or signing for a minor under the ago of eighteen.

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