I give consent to Save More Drugs Clinical Services to perform a nasal swab for a COVID-19 PCR Test. I understand that there is a slight risk of receiving a false negative or a false positive result. I have received a copy of the notice of Privacy Practices. I understand the notice of Privacy Practices provides an explanation of the ways in which my health information may be used or disclosed by the Pharmacy and of my rights with respect to my health information. I have been provided with the opportunity to discuss concerns I may have regarding the privacy of my health information.