Corona Testzentrum "Engel Apotheke im MainÄrztehaus"

Declaration of consent for the performance of a corona test

1. The sample for the antigen corona test is taken by swabbing using a cotton swab inserted into the nose. I am aware that even if the test is carried out carefully, there may be individual cases of injury, such as slight bleeding or irritation. In this awareness, I consent to the antigen corona test being performed on me.
2. In the event of a positive test result, I immediately enter domestic quarantine and initiate PCR retesting.
3. I am aware that my data (name, address, date of birth, telephone number, e-mail address) as well as my test result will be stored and, in the event of a positive test result, will be passed on to the health authorities. I understand that my personal information will not be used or shared in any other way.
4. I am aware that a negative test result cannot safely rule out infection with SARS-CoV-2, but represents a snapshot for approximately 24h and therefore a health status at the time of testing.
5. I understand that a test can only be performed on symptom-free individuals. I am also aware that I am not allowed to eat or drink anything (including chewing gum or tobacco products) 30 minutes before the test.