2521 13th Street, Suite A
St Cloud, FL 34769
503 E 1st Street
Sanford, FL 32771
By signing below, I acknowledge that I have provided answers to the best of my knowledge and I authorize my test results to be texted to the phone number or email above. I understand that the tests and potential treatment are being performed by a licensed and certified pharmacist under a collaborative practice agreement with a licensed physician. I understand that antigen tests are not 100% accurate and after exposure it may take up to 72 hours to yield a positive result. I attest that I am the patient, caregiver or responsible party for anyone under 18 years old. I also consent to my test results be submitted to the Florida State registry in order to be reported to the CDC for communicable disease reporting purposes.
Nirmatrelvir/Ritonavir (Paxlovid EUA)
Patients with Penicillin Allergy
Do not use in children under 10 years old
Promethazine/Dextromethorphan Oral Solution
Methylprednisolone Dose Pak
Ipratropium nasal solution
200 puffs per inhaler
By signing below, I attest that I have evaluated the patient and the results of their Point-of-Care test and have determined this therapy or lack-of therapy to be appropriate based on the protocol.