Lateral Flow Testing Consent Form
You will have heard on the news about the staggered re-opening of schools from January and the implementation of rapid testing for secondary school learners to limit the spread of COVID-19.  All learner's will be offered a rapid result test in the first week back.  This form is to indicate whether you give consent for these tests to be carried out.  Please see the full consent form on the website.

1. I have had the opportunity to consider the information provided by the school about the testing, ask questions and have had these answered satisfactorily

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 If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test.  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 throat swab for a lateral flow test.

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

5. I understand that if my child's results are negative on the lateral flow test I will not be contacted by the school  except where they/you are a close contact of a confirmed positive.

6. If the lateral flow test indicates the presence of COVID-19, I understand that I will need to book a further PCR test for my child, which shall be sent the same day to an NHS Test & Trace laboratory.  

7. I consent that they will need to self-isolate following a positive lateral flow test result, until the results of the confirmatory PCR have been received.

8. I agree that if my child’s test results are confirmed to be positive from this PCR test, I will report this to the school and I understand that my child will be required to self-isolate following public health advice.

Sign in to Google to save your progress. Learn more
Email *
Child's full name *
Child's Year Group  in September 2021 *
What is the name of the person completing this form? *
What is your name and relationship to child? *
What is your preferred contact number? *
I give consent for my child to be tested for COVID-19 *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Kepier. Report Abuse