Consent form for Student COVID-19 testing at Denton Community College

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This consent form is for participation in tests designed to detect asymptomatic coronavirus cases. Any student experiencing symptoms should follow government guidelines to self-isolate, even if they have had a recent negative lateral flow test. Consent relates to the following groups of students as follows:

• For 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

• For any 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

I have had the opportunity to consider the information provided by the college about the testing, ask questions and have had these answered satisfactorily, based on the information presented in the letter dated 15.07.21 with the attached Privacy Notice. *

Yes

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 If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test. *

Yes

I consent to my child having a nose and throat swab for lateral flow tests. My child will self-swab. I have discussed the testing with my child and they are happy to participate and self-swab. *

Yes

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day of testing they do not wish to take part, then I understand they will not be made to do so and that consent can be withdrawn at any time ahead of the test.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

Yes

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

Yes

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

Yes

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

Yes

I understand that my child will be required to self-isolate following public health advice following a positive lateral flow test result and take a confirmatory PCR test. *

Yes

My Child's First Name *

My Child's Last Name *

My Child's Date of Birth *

YYYY

My Child's Gender (this information is needed for Department for Health and Social Care research purposes) *

Female

Male

My Child's Ethnicity (this information is needed for Department for Health and Social Care research purposes) *

Asian or Asian British

Black, African, Black British or Caribbean

Mixed or multiple ethnic groups

White

Prefer not to say

My Child's NHS Number (this information is used to match to GP records, please leave blank if not known)

Home Postcode (this is your child's permanent address) *

First Line of Home Address (this is your Child's permanent address) *

Email Address you would like your Child's test results sending to *

Mobile Number you would like your Child's test results sending to (Please do not put a landline number - you can only receive test results to a mobile number)

Name of parent/guardian giving consent and relationship to your Child *

Signature (typing out your name is sufficient because you are filling in this form digitally) *

Today's Date *

YYYY

Please provide details of any health or accessibility issues which might affect your Child's safe participation in the testing.

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