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Information and Consent Form Regarding Testing For COVID-19

January 5, 2021


To All Parents / Guardians:


In accordance with New York State law, and Governor Cuomo’s micro-cluster initiative, if a school district is located in a designated “Yellow Zone,” in order for the district to maintain their in-person instruction, the district is required to randomly test 20% of their in-person population; this includes students, faculty, staff, and administration.  As a district, we have been working diligently to develop our testing protocol in the event we are in a designed “Yellow Zone.”


Although we are not currently in a designated zone, we are preemptively seeking your permission to have your child tested, should we become a “Yellow Zone.”  Attached to this letter is a consent to test form and we are asking that you please complete and return the form to school with your child. The form is also available to complete by clicking here. 


If the form is not signed, your student will not be tested.  However, it is encouraged that all students be eligible for testing.  This then allows the district the flexibility to ensure that we can adequately meet the testing requirement to remain open for in-person instruction.


If a parent or guardian would prefer to have their student tested at their primary care office or an alternative location that is acceptable.  If this is done, written proof of the test is required and the test must be completed within the micro-cluster timeframe.  Please note, any test done at school is free.  If a test is conducted at an outside location, any insurance or out-of-pocket costs are the responsibility of the family.


If you have any questions regarding our testing plan, we have posted a frequently asked questions document on our website for review or I would encourage you to contact myself or Nurse Arlen at 518-632-5222.


On behalf of the faculty, staff, administration, and Board of Education, I would like to thank you for your continued support of the district during this difficult period.




Andrew Cook
Hartford Central School District


COVID-19 Parent Consent Form