Covid Cert Blank

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CERTIFICATION

Date: August , 2021

To whom it my concern:

This is to certify that _____________, _ year old, male, residing in ____ was tested
for COVID 19 using the Rapid Antigen Saliva Test Kit, which revealed a
_NEGATIVE/POSITIVE_ result.
Thank you.
_______________________
Vanessa Jam T. Ng-Go, MD
Physician in charge
License # 0119737

***Rapid antibody-based test kits shall not be used as standalone tests to definitely diagnose or rule out COVID-19. The
interpretation of serologic tests (IgM/IgG) is dependent on the phase of illness of the patient. It should be an adjunct test
and still best correlated with RT-PCR results.

CERTIFICATION

Date: August , 2021

To whom it my concern:

This is to certify that _____________, _ year old, male, residing in ____ was tested
for COVID 19 using the Rapid Antigen Saliva Test Kit, which revealed a
_NEGATIVE/POSITIVE_ result.
Thank you.
_______________________
Vanessa Jam T. Ng-Go, MD
Physician in charge
License # 0119737

***Rapid antibody-based test kits shall not be used as standalone tests to definitely diagnose or rule out COVID-19. The
interpretation of serologic tests (IgM/IgG) is dependent on the phase of illness of the patient. It should be an adjunct test
and still best correlated with RT-PCR results.

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