Consent for Student Rapid COVID-19 Testing

Catskill CSD is seeking your consent to test your child for COVID-19 infection. When a school is in a part of New York State where there is a higher rate of positive cases of COVID-19 (yellow, orange or red zone) schools will be required to test 20% - 30% of their students & staff over a 2 to 4 week period in order to allow students to attend school in person.  


In preparation for the possibility that Catskill CSD may be asked to do this testing in the future we are seeking your consent now to test your child for COVID-19 infection in the future. Please remember that if we do not do this testing all students will be attending school virtually. 


If you consent, your child may be chosen to receive a free test for the COVID-19 virus. It will be administered by our School Nurses who are Registered Nurses. A rapid COVID-19 test will be used. A rapid test involves inserting a small swab, similar to a Q-Tip, into the front of the nose.


We will notify you if your child tests positive for COVID-19. Any student who has a positive test will be sent home and must be kept at home until meeting the County Department of Public Health criteria to return to school. Please contact your child’s doctor immediately to review the test results should your child test positive for COVID-19.  

*Field is Required



Child's Name:



Parent Name:

Phone Number:

Testing Consent will only apply to hybrid and in person students in grades Pre-K through 12 in the Catskill Central School District.
By digitally signing below, I attest that:
I have signed this form freely and voluntarily, and I am legally authorized to make decisions for the child named above.

I authorize the Catskill Central School District to test my child for COVID-19 infection.

I understand that my child may be tested at multiple times during the 2020-2021 school year.

I understand that this consent form will be valid through June 30, 2021, unless I revoke such consent in writing.

I authorize my child’s test results and other information to be disclosed to any governmental entity as may be required or permitted by law.

I acknowledge that a positive test result will require my child to be sent home from school and remain at home until he/she meets the criteria to return to school according to the Greene County Department of Public Health.

I understand that this testing does not replace treatment by my child’s medical provider, and I assume complete and full responsibility to take appropriate action regarding my child’s test results. I agree that I will seek medical advice, care, and treatment for my child from his/her medical provider if I have questions or concerns or if I become ill or my condition worsens.

I understand that, as with any medical test, there is the potential for a false positive or false negative COVID-19 test result.
P.O. Box 13314, Albany, NY 12212-3314 • 518.344.7022 • 518.344.7454 (fax) • 888.999.2554 (toll free) •