CHS Student COVID-19 Test Results Register

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form allows Culcheth High School to track student Lateral Flow Device (LFD) test results. It is important to record results so we know when somebody has tested positive, or gets a void result.

First Name *

Surname *

Form *

Date test was taken *

YYYY

Test Result *

Negative

Void (Please take another test if first void result or book for a PCR test if second void result)

Positive (Please also inform AttendanceLine@culchethhigh.org.uk directly at earliest possible opportunity and book a PCR test to confirm the result)

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Culcheth High School. Report Abuse

Forms