• OUT OF STOCK

    Salida Pharmacy and Fountain is currently out of rapid strep tests.

    We expect to receive more tests in the coming days. If you would still like to receive a test when they come in please continue to complete the form and we will call you when they are available. 

  • Group A Strep Test Screening Form

  • Rapid Group A Strep Test are by appointment. You will be asked to schedule your appointment at the end of this form. 

     

    Appointments must be booked at least 5 minutes in advance.

  • Medicare Part B Information

    Please insert your Medicare Part B information (Red, Whit, and Blue card)
  • Colorado Medicaid Information

    Please insert the information from your CO medicaid card
  • Insurance Card Information

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  • Current Symptoms

    For Patients: The following questions will help us determine the severity of your illness and recommendations we can make. If a question is not clear, please ask us to explain it.
  • Consent to Testing

  • I hereby authorize the pharmacist from Salida Pharmacy and Fountain to perform a Group A Strep Rapid 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 named above to administer the strep test for a fee of $35.00. I understand that my insurance might not reimburse the fee for the test and hold the pharmacy and pharmacist harmless for any fees not reimbursed. This assessment does not constitue a medical diagnosis. Negative results do not preclude Group A Strep infection and should not be used as the sole basis for treatment. 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 that if you test positive, you are very likely infected. However, there is a higher chance of false negative 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 strep, or are displaying many 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' 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.

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