MEDICAL CITYMD Sons | CITY NYC - Rapid (POC-Ag) COVID-19 Testing Letter 2 ”ATIENT NAME: 00. pati NEGATIVE Rapid COVID-18 test, WITHOUT Symptoms: The patient is without symptoms concerning for COVID-19 AND had a NEGATIVE Rapid cee ‘test in office AND has not hada high-risk exposure to COVID-19, Patient may to return to work/school (or as per thelr policy) 1 NEGATIVE Rapid COVID-19 test, WITH Symptoms: ; Patient had a NECATIE Rapid COVID-19 test in office AND has not had a high-risk exposure to COVID-19, Because patient ‘was symptomatic, a confirmatory PCR swab was sent to an outside lab, Patlent should self-quarantine until they receive this PCR test result, ‘* Ifthe PCR Nasal Swab test is NEGATIVE, the patient may immediately end quarantine and return to work/schoo! without restrictions. * Ifthe PCR Nasal Swab test is POSITIVE, the patient should isolate at least until (date) which 10 days after onset of symptoms _ (date). They may then return to work/school (or as per their policy), provided they are fever-free for 24 hours, AND they are released by their local DOH. G_ NEGATIVE Rapid COVID-19 test, with HIGH-RISK EXPOSURE (within 6 ft of COVID (+) Pt > 15 min total over 24 hrs): ASYMPTOMATIC (no current symptoms): The patient is without symptoms concerning for COVID-19 and hada NEGATIVE Rapid COVID-19 test in office. Patient may return to work/school (or as per their policy) without restrictions on (Gate) which is 10 days after the high-risk exposure. ASYMPTOMATIC + COVID vaccine: Patients without symptoms and has received the 2% dose of the COVID-19 \VACCINE more than 14 days ago (and within the past 90 days) and does not need to quarantine after their recent high-risk exposure (provided they remain asymptomatic). The patient must monitor for symptoms and should follow up with thelr doctor for evaluation It symptoms (ever, cough, lss of smell ete) develop, Symptomatic: Patient had a NEGATIVE Rapid COVID-19 testn office, Because patient was symptomatl a confirmatory PCR swab was sent to an outside la, Patient should quarantine until they receive this results * Ifthe PCR Nasal swab tests NEGATIVE, they may return to work/schol without restretions on. date) which is 10 days after the high-risk exposure, lf the PCR testis POSITIVE, the patient should continue quarantine until after symptoms onset). If they are then fever-free x 24 hours and released by thelr local DOH, they may return to work/school with a (date, 10 days ‘symptoms are improving, AND they are }Out restrictions (or as per their policy). Positive Rapid COVID-29 test, WITHOUT Symptoms: A PCR test sent was sent * POSITIVE PCR: Ifthe result of the confirmatory PCR testi positive th (date, 10 days from today). If they are then fever-fre symptoms do develop), AND they are released by thelr local DOH, to confirm the diagnosis (results in 5-7 days). Patient should self-quarantine until x 24 hours and symptoms are improving (if they may then return to work/school (or as per policy) without restrictions, * NEGATIVE PR: ifthe result ofthe confirmatory PCR Is negative and patients without symptoms they may return ‘to work/school (or as per policy) without restrictions, POSITIVE Rapid COVID-19 test, WITH Symptoms: ‘The patient tested POSITIVE for COVID-19 infection and has sym {¢ate, 10 days from symptom onset AND they are released by thelr local DOH they may toms, The patient should self-quarantine until #) If they are then fever-ree x24 hours and symptoms ae improving, ‘then return to work/school (or as per policy) without restrictions. CYGss we — wD (CityMD Provider - PRINT Ni (Citymt ler - SIGNATURE) Revised 02/12/2021