Home Lateral Flow Test Results Log

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Please complete this log every time a test is taken at home, in order to inform Smithdon High School of the results.

Please remember if the test result was positive you must also telephone the student absence line immediately on 01485 536123, so we can begin contact tracing and inform students/parents/staff who may need to isolate.

Email *

Are you: *

A member of staff

A parent completing for my child OR a student

First Name *

Surname *

Year Group (staff please choose '20') *

Date of birth *

YYYY

Date test completed *

YYYY

Time test completed

Time

Test Result *

Positive

Negative

Void

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