Test and Trace Consent Form

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Please fill in the details requested below and indicate your consent by ticking the relevant boxes

Email *

Pupil surname *

Pupil forename *

Your full name *

Your relationship to the child (if under 16) *

Your son's year group *

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

YES

Required

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 If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test *

YES

Required

I consent to my child having a nose and throat swab for a lateral flow test. *

YES

Required

I consent that my child’s sample(s) will be tested for the presence of Covid-19 *

YES

Required

If the lateral flow test indicates the presence of Covid-19, I consent to my child having a nose and throat swab for confirmatory PCR testing, which shall be sent the same day to an accredited clinical diagnostics laboratory run by Public Health England (PHE) with results available within 24-48 hours *

YES

Required

I consent that they will need to self-isolate following the PCR test until the results have been received *

YES

Required

I consent that if my child’s test results are confirmed to be positive from this PCR test, this should be reported to the school and my child will be required to self-isolate following public health advice *

YES

Required

I consent that if a close contact of my child tests positive but my child has tested negative, they will continue to attend school but will be tested every day at school / college for what would otherwise have been the isolation period in force at the time (currently 10 days). *

YES

Required

I consent that if a close contact of my child tests positive but my child has tested negative, They will continue to attend school but will be tested every day at school for 7 days *

YES

Required

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