OPHS Year 7 on site Covid testing - parent/carer consent

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Student Consent form for COVID-19 testing in Secondary schools and colleges

Terms of Consent

1. I have had the opportunity to consider the information provided by Oaks Park High School about the testing, ask questions and have had these answered satisfactorily, based on the information presented in the email dated 15th July 2021 and the attached Privacy Notice.

2. In the case of under 16s, I have discussed the testing with my child and my child is happy to participate. If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test.

3. I consent to my child having a nose and/or throat swab for lateral flow tests. My child will self-swab if my child is able to otherwise understand that assistance is available.

4. I understand that there may be multiple tests required and this consent covers all tests for the below named person. If, on the day of testing they do not wish to take part, then I understand they will not be made to do so and that consent can be withdrawn at any time ahead of the test.

5. I consent that my child’s sample(s) will be tested for the presence of COVID-19.

6. If the lateral flow test indicates the presence of COVID-19, I commit to ensuring that my child is removed from school premises as promptly as possible, bearing in mind they may have some anxiety following a positive test result.

7. I agree that if my child’s test results are confirmed to be positive from this lateral flow test Iunderstand that my child will be required to self-isolate and book a confirmatory PCR test (https://www.gov.uk/get-coronavirus-test) following public health advice.

Email *

First name of child *

Surname of child *

Form Group of child *

I consent to the Terms of Consent, points 1-7 as listed above: *

Yes

Required

Date of birth of child (dd/mm/yyyy) *

YYYY

Gender - this information is needed for Department for Health and Social Care research purposes *

Female

Male

Required

Ethnicity - this information is needed for Department for Health and Social Care research purposes *

Asian or Asian British

Black, African, Black British or Carribean

Mixed or multiple ethnic groups

White

Prefer not to say

Required

Currently showing any Covid-19 symptoms? *

Yes

Home postcode *

First line of your address *

Email address of parent/carer - this is where test results will be sent *

Mobile Number of parent/carer - this is where test results will be sent. Please do not put a landline number - you can only receive test results to a mobile number *

Full Name of Parent/Carer/Legal Guardian giving consent *

Relationship to the child named on this form *

Details of any health or accessibility issues which might affect a child's safe participation in the testing exercise

Signature (typing out your name is sufficient) *

Date *

YYYY

Send me a copy of my responses.

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