Consent form for Covid-19 testing at Mayesbrook Park School

Testing for those without coronavirus symptoms is being conducted across the country using quicker COVID-19 tests known as ‘lateral flow tests.’ Along with the other protective measures we are taking, these tests will help staff and pupils to remain in school safely. Up to one third of people who have coronavirus experience no symptoms.

By testing we will help to stop the virus spread and help to keep our school open as safely as possible. The test is voluntary, but we would encourage everyone to take it.

We are required to obtain consent from all individuals who are taking part in the rapid testing process in school. If you are happy for your child to be tested, please answer the questions. This will be returned to us automatically once you have pressed ‘Submit’ at the end of the form.

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 as follows:

• For pupils and students younger than 16 years - this form must be completed by the parent or legal guardian.



Terms of consent:

1. I have had the opportunity to consider the information provided by the school about the testing, including the Privacy Notice.

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 If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test.

3. I consent to my child having a nose and throat swab for lateral flow tests. My child will self-swab if 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).

4. I understand that there may be multiple tests required 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day of testing they do not wish to take part, then I understand they will not be made to do so and that consent can be withdrawn at any time ahead of the test.

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

6. 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.

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

8. I understand that they will need to self-isolate following a positive lateral flow test result.

9. I agree that if my child’s test results are confirmed to be positive from this lateral flow test, I will report this to the school and I understand that my child will be required to self-isolate following public health advice.

10. I unerstand that if a close contact of my child tests positive that my child will self-isolate for 10 days in line with government guidance.

THERE IS SPACE ON THE FORM TO COMPLETE FOR UP TO 2 CHILDREN.

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* 1. Do you give consent for your child/children to undergo Lateral Flow Testing in school?

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* 2. Student First Name (CHILD 1)

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* 3. Student First Name (CHILD 1)

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* 4. Is your child currently showing any COVID-19 symptoms? (CHILD 1)

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* 5. Student First Name (child 2)

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* 6. Student last name (child 2)

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* 7. Is your child currently showing any COVID-19 symptoms? (CHILD 2)

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* 8. Type name of Parent/Carer giving consent:

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* 9. Relationship to student:

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* 10. Details of any health or accessibility issues which might affect your child's safe participation in the covid testing:

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