Voyage Medical

PCR Intake Form
authorize Voyage Medical to administer the SARS-CoV-2-RT-PCR test. I agree to the following protocols:
I understand that I will need to seek my own medical consultation for further information regarding my test results. I have received information on test limitations and understand that a negative test does not rule out past or future infection.
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I authorize Voyage Medical to release the test results to the following e-mail:

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A negative test does not prove that you are 100% negative. All State and Federal mandates for social distancing and self-quarantine while not performing essential work duties should be strictly followed.
If your test is positive, please contact your medical provider for further instructions and care. Your state department of health will be notified of your positive results.

OFFICE USE ONLY

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