• Date Format: MM slash DD slash YYYY
  • I further accept and acknowledge the following:
    1. Results from RT-PCR (swab) and/or antibody testing are presumptive and should not be used as the sole basis to diagnose or exclude SARS-CoV-2 (COVID-19) infection or to inform infection status.

    A negative result may appear and not correlate with symptoms. A medical professional is required to consider various factors, including confirmation testing, when receiving a presumptive result.

    2. SM Concierge Medicine is a private Practice that offers COVID-19 test to the community and is working as A TESTING SITE ONLY.
    IF ANY OF MY TESTS ARE POSITIVE I SHOULD IMMEDIATELY CONTACT MY PRIMARY CARE PHYSICIAN, OR CLOSEST ER FOR FURTHER MEDICAL RECOMMENDATIONS.


  • Type your full name and date to accept the terms listed above:
  • Date Format: MM slash DD slash YYYY