Toradh na Tástála Sreabhadh Cliathánach

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

Toradh na Tástála Sreabhadh Cliathánach | Lateral Flow Test Result

Má tá toradh an TSC dearfach, neamhbhailí nó mura ndearna tú tástáil, ba cheart duit Gaelcholáiste Dhoire a chur ar an eolas láithreach tríd an fhoirm google seo a líonadh.

If the LFD result is positive, void or if you did not test, you should inform Gaelcholáiste Dhoire immediately by filling in this google form.

Email *

Céadainm / Forename *

Sloinne / Surname *

Rang / Class

(Daltaí amháin / Pupils only)

12A

12B

13A

Clear selection

Dáta na tástála / Date of test *

YYYY

Toradh na tástála / Result of test *

Dearfach / Positive

Neamhbhailí / Invalid

Níor thástáil mé / I did not test

Is féidir liom a dhearbhú gur thuairiscigh mé mo thoradh ar líne tríd an tairseach SSN. / I can confirm that I have reported my result online via the NHS portal. *

https://www.gov.uk/report-covid19-result

Is féidir / Yes

Required

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of c2ken. Report Abuse

Forms