I hereby authorize the pharmacist from Stine’s Apothecary to perform a Covid-19 Rapid Antigen Test. I authorize the pharmacists to maintain a copy of this signed form. I indemnify the organizing body and all persons connected with them from any and all claims that may result from my voluntary participation in the tests.
By signing below, I signify that I agree to allow those pharmacists affiliated with the pharmacy name above to administer the COVID-19 rapid test for a fee of $39.00.
I understand the test that I am receiving is a rapid diagnostic test using antigens. Antigen tests look for viral proteins, which are highly specific, meaning if you test positive, you are likely infected. However, there is a higher chance of false negatives with antigen tests, which means that a negative result cannot definitively rule out an active infection. If you have a negative result on an antigen test but have a recent exposure to Covid, or are displaying any of the symptoms, you may wish to take a PCR test to confirm your result. A PCR test looks for the presence of the virus’s genetic material. PCR tests are highly accurate but can take days to a week to get the results. The antigen test that you are receiving today is most accurate if you are symptomatic and within the first five days of symptoms.