Please complete this form for ALL Co-Vid 19 Later Flow Tests carried out at home. In addition to this form, all test results also need to be logged at https://www.gov.uk/report-covid19-result.

Depending on the result of your test you and your household may be required to self-isolate. Advice on this can be found at https://www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-and-treatment/.