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School-Based COVID-19 Testing Consent Form for Staff


Friday, August 27, 2021

The Centers for Disease Control and Prevention (CDC) recommends offering coronavirus (COVID-19) testing in schools. COVID-19 testing helps schools identify cases of COVID-19 quickly and reduce the risk of COVID-19 infections at school. For the 2021-22 school year, your school is participating in a citywide COVID-19 school-based testing program available to DC public and public charter schools. Per Mayor’s Order 2021-099, DC Public Schools teachers and staff must provide proof of vaccination status by Sept. 19, 2021, or participate in weekly testing.

This program uses a saliva-based PCR test, which you can learn more about here: www.shieldt3.com/k12/. Test results will be shared securely with you, the appropriate school official(s), and DC Health.

DC public and public charter schools participating in the citywide COVID-19 school-based testing program are using this form to document consent to test staff for COVID-19 and to share data with the relevant authorities. All testing is free.