INFORMED CONSENT

COVID-19 RAPID ANTIGEN TESTING (Latex)

SARS-CoV2 “COVID 19” is a respiratory illness that can start as a sore throat, a fever, and/or a cough. It has been known to spread through infectious droplets which are, either, transmitted through the air in short distances (by coughing and sneezing), or left and transferred to other people through surface contact. Notwithstanding, the virus can also eventually spread through and by other ways still unknown to us.

With the end goal of ending this global pandemic, COVID-19 testing, in general, is vital to identifying and isolating people who are infected with the virus. Consequently, this helps global health efforts in monitoring and containing the spread of the virus. COVID-19 testing also aids in the development of counter-measures, like vaccines.

The COVID-19 Rapid Antigen Test (Latex) detects the presence of the virus in person at the time of the test.

I knowingly and freely declare / undertake that:

1. I authorize this COVID-19 testing unit (SAVEPOINT Global,Inc.) or Testing Unit to conduct collection and testing for COVID-19 through sputum / saliva sample;
2. I understand that the Testing Unit is not my medical provider, that this testing does not replace treatment by a hospital / clinic / medical provider.
3. I assume complete and full responsibility to take appropriate action with regard to my test results.
4. I agree that I will seek proper medical advice and treatment from a medical provider if I have any concern about my condition.
5. A positive test result is an indication that I must observe extra safety measures, particularly to self-isolate myself and immediately seek proper medical advice.
6. I authorize the Testing Unit to disclose my test results to my employer or principal and, as may be required by law, ordinance, rule or regulation, to the Department of Health (DOH), including to the local government unit or other government agencies or instrumentalities.
7. I understand that, as with any rapid medical test, there can be instances of false positive results or false negative results. As such, a repeat testing can be done or may be required of me. In addition, in cases where my test results are inconclusive or where I have doubts with my test results, it is highly recommended that I take a confirmatory RT-PCR test.
8. I understand, like any medical test, there are certain risks associated with it. Thus, I hereby consent for myself, my heirs, executors, administrators, assigns, or personal representatives, and knowingly and voluntarily agree to have my sample drawn, processed and analyzed by the Testing Unit.
9. I waive any and all rights, claims, or causes of action of any kind whatsoever arising out of my participation in this activity, and do hereby release and forever discharge the Testing Unit, including its officers, directors, employees, agents and representatives from any physical or psychological injury, including but not limited to illness, paralysis, death, economical or emotional loss, that I may suffer as a direct result of my participation in this activity, including traveling to and from any location related to this activity.
10. I, the undersigned, have been briefed about the purpose / procedures / benefits / risks of the test. I have read and understood all the terms set forth in this Informed Consent. I, therefore, voluntarily agree to this testing for COVID-19.