COVID-19 Response » Consent for COVID-19 testing

Consent for COVID-19 testing

Due to rising Covid-19 cases, NYS has implemented a Covid-19 Action Cluster Initiative. As it stands now Buffalo, NY falls under a Yellow (Precautionary) Zone which means that to remain open there will be mandatory weekly testing for 20% of randomly selected students, staff and teachers for in-person settings. 

What is this form?

We are seeking your consent to test your child for the Covid-19 infection per NY State directives. We will be partnering with Local Health Departments and other medical providers to facilitate the testing of students, teachers and staff attending in-person selected at random. This consent form will be valid from November 2020 through June 2021 so long Buffalo remains designated as a Yellow Zone. 

Refusal of consent?

According to NYS orders if there is a refusal to consent to the Covid-19 testing, that student will have to become fully remote until further notice pending a change to Buffalo’s cluster designation. 

How often do we test?

In accordance with New York State mandates we will be testing 20% of the in-person student, staff and teacher population weekly, selected at random, as long as the school remains in a Yellow Zone.


If you would like to submit a consent form for your child, please print out the file below, complete and sign the form and send it in with your child. You may also email it in to Ms. Oldenburg at