Consent form for COVID-19 testing in secondary schools
Consent form for COVID-19 testing in secondary schools
 
Introduction

This form is to grant or withhold consent to participate in tests designed to detect asymptomatic coronavirus cases. Anyone experiencing symptoms should follow government guidelines to self-isolate, even if they have had a recent negative lateral flow test. Please complete this form as soon as possible or by Tuesday 22nd June at the latest.

Consent relates to the following groups of students as follows:

For pupils and students younger than 16 years - this form must be completed by the parent or legal guardian. -- Please complete one consent form for each child you wish to participate in testing.

Pupils and students over 16 who are able to provide informed consent - can complete this form themselves, having discussed participation with their parent / guardian if under 18.

For any pupil or student who does not have the capacity to provide informed consent - this form must be completed by the parent or legal guardian. Please complete one consent form for each child you wish to participate in testing.

Terms of consent

1. 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, based on the information presented in the letter dated 22nd June 2021 and the attached Privacy Notice.

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 If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test.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 having / my child having a nose and throat swab for lateral flow tests. In the case of under 16s or pupils who are not able to provide informed consent, I have discussed the testing with my child and they are happy to participate.

4. I understand that there may be multiple tests required and this consent covers all tests for the below named person. If, on the day of testing I / they do not wish to take part, then I understand I / they will not be made to do so and that consent can be withdrawn at any time ahead of the test.

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

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

7. If the lateral flow test indicates the presence of COVID-19, I commit to ensuring that I / my child is removed from school premises as promptly as possible, bearing in mind I / they may have some anxiety following a positive test result. I agree to book a PCR test promptly for my child.

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

9. I agree that if my / 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 I/ my child will be required to self-isolate following public health advice.



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Email *
Permission.  Please indicate if you consent to the above *
Student: First Name *
Student: Surname *
Student:  Year Group *
Student: Form Group
Student: Date of Birth (example 31 /03/1980) *
Student: Gender *
Student: Ethnic Group *
Student: NHS Number (if known)
Student: Where in the UK do you live *
Student: Home Postcode *
Student: First Line of your address *
Email Address - This is where test results will be sent to *
Mobile Number - this is where test results will be sent. Please do not put a landline number - you can only receive test results to a mobile number *
Name of parent/guardian giving/withholding consent  *
Relationship to the child *
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