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Licking County Health Department COVID19 Testing Consent Form (To be filled out by LCHD) NURSE: DATE: (To be filled out by patient) PATIENT NAME: MALEDATE OF BIRTH: FEMALEADDRESS:CITY:STATE:ZIP:COUNTY:PHONE.

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Symptoms can include fever or chills, fatigue and body aches, sore throat, headache, cough and shortness of breath.

If you have symptoms, test immediately. If you use an antigen test, a positive result is reliable, but a negative test is not always accurate. If your antigen test is negative, take another antigen test after 48 hours or take a PCR test as soon as you can.

LCHD offers FREE at-home Covid test kits in the front office of both our main office and Pataskala office.

LCHD offers FREE at-home Covid test kits in the front office of both our main office and Pataskala office.

If you were exposed, you should consider getting tested as soon as possible, even if you have no symptoms.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232