Consent or Declination for CUE COVID-19 Molecular Rapid Testing at ISD 361 Schools
ISD 361 is offering onsite weekly testing for COVID-19. By signing this form, I acknowledge:
- Cue testing permits students who are over 18 years of age to provide consent for testing. For students under 18 years old, Cue testing requires a parent or legal guardian to provide consent. Results will be available upon request and will be reported directly to the email address or phone number I provided to ISD 361.
- ISD 361 staff trained in administering the test, and other ISD 361 staff may provide assistance. Cue requires a trained testing supervisor to oversee each test directly.
- ISD 361 is required to report positive cases to the Minnesota Department of Health.
- Results will be reported to the parent after each test (positive or negative)
By signing below, I am certifying that I understand the above and that I want/do not want my child to participate in ISD 361 Schools weekly COVID-19 testing program. I understand that I can change my mind by providing a written request to the district at any time. Please indicate your choice below and fill out the information.
I DO NOT WANT MY CHILD TESTED I WANT MY CHILD TO TEST WEEKLY
Student Name (print) __________________________Grade _____ Teacher______________
Signature – Parent or Legal Guardian__________________________________
Print – Parent or Legal Guardian_________________________ Date_____________________
If choosing to have child tested, Parent email or cell number for results:
(Nurse will call on a positive case, negative results would likely be texted or emailed if possible to save time.)
Testing will begin the week of November 1