Pupil Consent for Covid-19 testing in school
Introduction

This consent form is for participation 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.

Consent relates to pupils as follows:   Parents/Carers will complete this form on behalf of their child.

Terms of consent

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, based on the information presented in the letter dated [07/01/2021] and the attached Privacy Notice.

2. I consent to having a nose and throat swab for lateral flow tests. I will self-swab if I am able to otherwise I understand that assistance is available.

3. 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on the day of testing I do not wish to take part, then I understand I will not be made to do so and that consent can be withdrawn at any time ahead of the test.

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

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

6. If the lateral flow test indicates the presence of COVID-19, I consent going for a nose and throat swab for confirmatory PCR testing at a registered NHS Test & Trace site.

7. If the lateral flow test indicates the presence of COVID-19, I commit to ensuring that I leave school premises as promptly as possible, bearing in mind I may have some anxiety following a positive test result.

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

10. I consent that if a close contact tests positive but I have tested negative, I will continue to attend school  but will be tested every day at school  for 7 days.
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Childs Full Name *
Childs Date of Birth *
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Gender (this information is needed for Department for Health and Social Care research purposes) *
Ethnicity (this information is needed for Department for Health and Social Care research purposes) *
Currently Showing and COVID-19 symptoms *
Home Postcode *
Email Address (where the test results will be sent) *
Mobile Number (this is where the test results will be sent. Please do not put a landline number) *
Signature (typing your name is sufficient if you are filling in this form digitally) *
Todays Date *
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