COVID-19 Weekly Testing

1

Name* This field is required.

First Name

Last Name

2

I understand that I am taking this test per Cary Institute’s policy regarding non-fully vaccinated employees.* This field is required.

YESNO

3

I understand that I must undergo weekly testing until I am fully vaccinated which would be two weeks after receiving the second shot of the two dose vaccine i.e. Pfizer or Moderna or two weeks after single dose vaccination is received i.e. Johnson & Johnson.* This field is required.

YESNO

4

I acknowledge that I have read Abbott’s Fact Sheet for Patients and consent to take the test. I agree to promptly report test results to HR.* This field is required.

YESNO

5

Please do not take the test. Contact Human Resources for more information.