This consent provides Southern Virginia University (the “University”) with your permission to perform a COVID-19 screening procedure based on the University’s need to maintain a safe environment for students, employees, and others with whom you may come into contact. By signing below, you are indicating that you voluntarily consent to this procedure for the detection of COVID-19.
The test being administered involves a nasal swab that will be tested to indicate the potential presence of COVID-19. If you decline the test, you may not be allowed to enter or remain on the Southern Virginia University campus. If you require a reasonable accommodation with respect to the test, please contact Kristie Gibbons in the Office of the President at: 540-261-4100 or at firstname.lastname@example.org. You also have the right to discuss the proposed testing with your physician, to learn about the purpose, and potential risks and benefits of any testing.
This test has been approved through an Emergency Use Authorization by the FDA; however, this test alone may not be sufficient to detect or rule out the possibility that you have COVID-19. You should carefully monitor your own symptoms, notwithstanding the results of any testing.