Student LFD Results Recording Form
Please complete this form each time you undertake a test.  Please also remember to record your result on the NHS site.

If your results are positive, you should inform Dan Shoubridge immediately as well as completing both this and the NHS form.

Should you encounter any issues whilst carrying out the test, please use this same form to let us know.

Any questions should go to your Testing Team Leader, this is Nicki Taylor.
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First Name *
Surname *
Date of Birth
MM
/
DD
/
YYYY
Year Group
Tutor Group
Date the test was taken? *
MM
/
DD
/
YYYY
Time the test result was read? *
Time
:
Test result *
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Anything to report?   Please use this to let us know any reasons why you couldn't take the test, including issues with equipment or incidents regarding safety.  
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