Get the free RAPID ANTIGEN SELF TEST KIT Patient Demographic Form

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RAPID ANTIGEN SELF TEST KIT Patient Demographic Form PATIENT INFORMATION Date Kit Distributed: ___ Last name: ___ First Name:___ Date of Birth: ___ ___ ___ Phone Number: (___) ___ ___ Email: ___ Address:

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How to fill out rapid antigen self test

01

Open the package containing the rapid antigen self test kit

02

Remove the testing device from the package

03

Hold the device by the handle and insert the swab into your nostril

04

Rotate the swab in each nostril for about 5-10 seconds

05

Place the swab in the testing solution as instructed

06

Wait for the specified amount of time for the results to appear

07

Read the results based on the test instructions

08

Properly dispose of the testing device and any waste

Who needs rapid antigen self test?

01

Individuals experiencing symptoms of COVID-19

02

Individuals who have been in close contact with someone who has tested positive for COVID-19

03

Individuals who have recently traveled to high-risk areas

04

Healthcare workers and first responders who are regularly exposed to COVID-19 patients

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What is rapid antigen self test?

Rapid antigen self test is a diagnostic test that detects specific proteins on the surface of the virus causing COVID-19.

Who is required to file rapid antigen self test?

Individuals who suspect they may have COVID-19 or have been in close contact with someone who has tested positive for COVID-19 are required to take a rapid antigen self test.

How to fill out rapid antigen self test?

To fill out a rapid antigen self test, you will need to follow the instructions provided in the test kit, which typically involves collecting a sample from your nose using a swab and inserting it into the test device.

What is the purpose of rapid antigen self test?

The purpose of rapid antigen self test is to quickly and easily detect the presence of the COVID-19 virus in individuals who may be infected.

What information must be reported on rapid antigen self test?

The results of the rapid antigen self test, including whether it is positive or negative, must be reported on the test form.

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