COVID-19 self-testing results form

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COVID-19 self-testing results form

Please let the school know your test result by filling in this form each time you've taken an LFD test.

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* Indicates required question

Email *

Your email

Are you: *

Staff

Student

Please enter your name below: ( Child's Forename, Last Name) *

Your answer

To further confirm your identity, please enter your school Gmail address (@stcenydd.co.uk) below: *

Your answer

What date did you complete your self-test? *

MM

/

DD

/

YYYY

Reading your self-test result:

What was the result of your self-test? *

Positive

Negative

Void

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