Beechen Cliff Home LFT reporting form
Please use this form to report your twice weekly Lateral Flow test result
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Are you a member of staff or a pupil/student? *
First Name *
Last Name *
Year Group *
Date of Birth *
MM
/
DD
/
YYYY
Day test was taken *
Date of Test *
MM
/
DD
/
YYYY
Test Result *
Submit
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