Self Screening Pickup Form

Pickups are by appointment only. The Chamber will notify you when your kits are ready for pickup. Your Screening Supervisor Designate must make the first pick up and hand in the signed agreement for use. (You will receive a copy of the agreement with notification of pickup.)

Please DO NOT visit the pickup locations until you have heard from us.

Program Agreement/Commitment

TERMS AND CONDITIONS FOR PROVINCIAL ANTIGEN SCREENING PROGRAM

As an Eligible Business receiving a Test Kit from the Huron Chamber of Commerce – Goderich, Central and North Huron, you agree to the following terms:

a. Eligible Businesses that receive the Test Kits must ensure that the Test Kits are:

i. Used only for the purposes of the Initiative.

ii. Not resold or distributed to any other person.

b. Eligible Businesses that receive the Test Kits must report the following data regarding use of the Test Kits to the Chamber, at least once every seven (7) calendar days:

iii. Number of rapid antigen tests used;

iv. Number of individuals who tested positive with a rapid antigen test;

v. Number of individuals who tested negative with a rapid antigen test; and

c. Eligible Businesses shall ensure that there is no fee charged to persons being screened using the Test Kits. Such screening must be provided free of charge to the person being tested.

d. In providing COVID-19 point-of-care antigen testing to individuals using the Test Kits at their sites, Eligible Businesses that receive the Test Kits must ensure compliance with all applicable laws, provincial or federal directives, and provincial or federal guidance, including:

i. Ministry of Health COVID-19 Guidance: Considerations for Rapid Antigen Screening.

ii. Public Health Infection, Prevention and Control (IPAC) guidelines.

e. Eligible Businesses that receive the Test Kits must supply, at the business’ own cost, the appropriate human resources and all equipment and supplies (other than the Test Kits themselves) required to perform the COVID-19 point-of-care antigen testing using the Test Kits at their site.

f. Eligible Businesses that receive the Test Kits must ensure that the person performing COVID-19 point-of-care antigen testing using the Test Kits at their site must be a health professional or trained individual that has the appropriate knowledge, skills, judgment, and oversight to perform the test correctly.

Additionally, the Eligible Business agrees to hold harmless the Huron Chamber of Commerce – Goderich, Central and North Huron from and against all losses, costs, liabilities, claims, damages and expenses of every kind and character, as incurred, resulting from or relating to or arising out of participation in the Provincial Antigen Screening Program.