NHS Test and Trace : Student Covid-19 Lateral Flow Testing Consent for WSS

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Consenting to COVID-19 Lateral Flow Testing

You may have heard that testing for those without coronavirus symptoms is beginning across the country using new, quicker COVID-19 tests known as ‘lateral flow devices’.

Up to one third of people who have coronavirus are asymptomatic. By testing we will help to reduce the spread in school settings through asymptomatic transmission. In order for all tests to be performed consent must first be given.

If you wish a COVID-19 lateral flow test to take place please complete the following information and read the consent carefully before making your choice.

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 the following groups of students and staff as follows:

- For pupils and 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.

- Students over 16 who are able to provide informed consent - can complete this form themselves, having discussed participation with their parent / guardian if under 18.

- 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.

- Staff will complete this form themselves.

Consent only needs to be given once.

Test subject's first name *

Test subject's last name *

Test subject's date of birth *

YYYY

Gender *

Female

Male

Ethnic Group *

NHS Number (Optional)

Country *

Test subject's post code *

First line of address *

Email address for receiving results *

Mobile number for receiving results *

Test subject academic year group *

Year 7

Year 8

Year 9

Year 10

Year 11

Year 12

Year 13

Please choose one of the following options to confirm who is giving consent. *

I am the adult with parental responsibility for the test subject.

I am a student in Year 12 or year 13.

Consent form for COVID-19 testing in secondary schools and collegesTerms of consent- I have had the opportunity to consider the information provided by the school about the testing, ask questions and have had these answered satisfactorily.- In the case of under 16s, 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. - I consent to having / my child having a nose and throat swab for lateral flow tests. I / my child will self-swab if I / my child is able to otherwise I understand that assistance is available. In the case of under 16s or pupils who are not able to provide informed consent, I have discussed the testing with my child and they are happy to participate and self-swab (with assistance if required).- I understand that there may be multiple tests required and this consent covers all tests for the above named person. If, on the day of testing I / they do not wish to take part, then I understand I / they will not be made to do so and that consent can be withdrawn at any time ahead of the test.- I consent that my / my child’s sample(s) will be tested for the presence of COVID-19.- I understand that if my /my child’s result(s) are negative on the lateral flow test I will not be contacted by the school except where I am / they are a close contact of a confirmed positive.- If the lateral flow test indicates the presence of COVID-19, I consent to having / my child having a nose and throat swab for confirmatory PCR testing. I/they will follow the instructions on the PCR Kit to return the test the same day to an NHS Test & Trace laboratory. - If the lateral flow test indicates the presence of COVID-19, I commit to ensuring that I / my child is removed from school premises as promptly as possible, bearing in mind I / they may have some anxiety following a positive test result.- I consent that I / they will need to self-isolate following a positive lateral flow test result, until the results of the confirmatory PCR have been received.- I agree that if my / my child’s test results are confirmed to be positive from this PCR test, I will report this to the school / college and I understand that I/ my child will be required to self-isolate following public health advice. *

Yes, I give consent to the above.

No, I do not give consent to the above.

Name of person giving consent *

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

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