NHS Test and Trace Consent Form

This common consent form has been designed for use by parents and guardians of pupils and under 16s, pupils and students over 16 and staff. Underlined sections should be read as applicable and completed as follows:

• Staff will complete this form themselves.

I have had the opportunity to consider the information provided by the school/college about the testing.I consent to having a nose and throat swab for a lateral flow test.I consent that my sample(s) will be tested for the presence of COVID-19.I understand that if my result(s) are negative on the lateral flow test I will not be contacted by the school/college except where they/you are a close contact of a confirmed positive.If the lateral flow test indicates the presence of COVID-19, I consent to having a nose and throat swab for confirmatory PCR testing, which shall be sent the same day to an NHS Test & Trace laboratory.I consent that I 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 test results are confirmed to be positive from this PCR test, I will report this to the school / college and I understand that I will be required to self-isolate following public health advice.

Name of pupil/student/staff to be tested:* Year Group (if applicable): Name of parent or guardian if under 16: Signature:* Date:* Relationship to child if under 16: