CONSENT TO TEST FOR COVID-19
I, the undersigned, give permission for contractors hired by the City of Memphis to perform PCR nasal swab tests on me/my child to check for infection with the COVID-19 virus. I understand that the nasal swab tests will be performed by contractors trained to perform the tests properly in accordance with standard medical and laboratory procedures, and that the tests will be transported to a laboratory qualified to process the tests and provide results in a timely manner. I further understand that I/my child may be required to avoid attending work/school for at least a ten- to fourteen- (10-14)- day period in the event of a positive test result; and that in the event I/my child have been in contact with another coworker/student who has tested positive for the COVID-19 virus, I/my child may be isolated or sequestered, along with any other coworker/student likewise exposed, separately from other coworkers/ students at work/school, for up to a ten- to fourteen- (10-14)- day period, or as otherwise required by the Shelby County Health Department, even if I/my child have not tested positive for the COVID-19 virus.
I agree and acknowledge that the City of Memphis, its employees, associates, volunteers, personnel and/or contractors will have no liability whatsoever for any claims, damages, demands, judgments and loss including but not limited to illness, injury, and/or death, arising from or otherwise connected with the City of Memphis’ and/or its contractors’ testing of me/my child for infection with the COVID-19 virus and/or subsequent actions taken by work/school in response to my/my child’s test results or the test results of any coworker/student with whom I/my child have been in contact.
I, the undersigned, agree to the terms above.