34th Annual Northwest Planned Giving Roundtable Annual Conference Event Pre-Screening

This event is open to fully-vaccinated individuals and those with proof of a negative COVID test within 72 hours prior to the start of the event. Monday, September 12, 2022 is the earliest that we will be accepting tests.

If you have proof of vaccination please continue to fill this form out at this time. If you do not have proof of vaccination, please wait to fill this form out until you have proof of a negative COVID test taken on September 12, 2022 to September 15, 2022.

Thank you for filling out this pre-event screening questionnaire to help keep our community safe and healthy. You will be asked a second set of questions prior to entering the event. Your answers will be used only for pre-event screening and will be kept confidential. Should you have any questions regarding this form, please contact the events team at info@nwpgrt.org.

First Name
Last Name
Either proof of vaccination or proof of a negative COVID-19 test within 72 hours of the start of the event is required. Please choose one of the following: *

Here are some rapid and PCR test sites for those in need of presenting a negative COVID test for the event.



Both Rapid and PCR tests are administered at sites in the Portland area by Curative. Appointments are preferred to minimize wait times, and take precedence over walk-ins. Please bring your ID and insurance card (if applicable) to the site to receive your test. There is no out of pocket cost for the test and it is available for both insured and uninsured; insured must provide insurance information.

COVID Clinic


Located on Oregon St. Between 729 Building and 827 Building at Oregon Square. Covid Clinic is located between these buildings in a parking lot. This is a drive-through testing location and is located in the parking lot. Patients can stay in the safety of their vehicle. There is no cost to the patient if you choose the 2+ day test; rapid tests do have a charge that may be covered by insurance. Please direct all cost/insurance questions to your healthcare provider.

Oregon Health & Science University


By signing this form I certify that the answers I have given in this screening questionnaire are true and correct. *
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