Consent and waiver: I consent the staff of Southern Pharmacy of Arkansas to administer the BD Veritor™ System for Rapid Detection of SARS-CoV-2 or the Assure COVID-19 IgG/IgM Rapid Test. I understand that any test results from either the BD Veritor™ System for Rapid Detection of SARS-CoV-2 or the Assure COVID-19 IgG/IgM Rapid Test will be reported to the Arkansas Department of Health using the information supplied on this form.  Any test results will also be shared with any Primary Care Provider listed on this form or patient may request test results to be shared with the provider of their choice.  I understand the both the BD Veritor™ System for Rapid Detection of SARS-CoV-2 or the Assure COVID-19 IgG/IgM Rapid Test have a possibility of producing false positive or false negative results.  Any treatment should be in coordination with a healthcare provider.  I also agree to follow the Center for Disease Control and Prevention (CDC) and Arkansas Deparment of Health guidelines regarding SARS-CoV-2. Links to Center for Disease Control and Prevention (CDC) and Arkansas Deparment of Health can be found here:  www.southernpharmacy.net/covid19resources.  I acknowledge that I have reviewed a copy of the pharmacy’s privacy policies according to HIPAA located here. (Please sign on next screen)