COVID-19 TESTING - INFORMED CONSENT & PRIVACY PRACTICES
Please read carefully and sign the following informed Consent & Notice of Privacy Practices
I authorize Avantic Medical Lab to collect and test for COVID-19 (SARS-COV-2) through a nasopharyngeal, nasal, or oralswab, as ordered by an authorized medical provider public health official. I also understand that this procedure is semi-invasive and I may experience mild pain and discomfort and possible bleeding. I understand that this test detects if the SARS-COV-2 (the virus that causes COVID-19) is present at the time of testing only. It does not test for immunity of if the virus has been present in the past. I understand that Avantic Medical Lab 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 persists or worsens. I understand that, as with any medical test, there is potential for a false positive or false negative COVID-19 test result. I authorize my information and results to be shared with the county, state or any other governmental entity which is required by law for COVID-19 tests.