IES Breckland Covid-19 Testing Consent Form

This form is to enable parents/carers to provide consent/non-consent for the children in their care to be tested for Covid-19 at school.
Please complete whether or not you consent for your child to tested at the end of this form.

If you consent you are agreeing to the following:

·       I have had the opportunity to consider the information provided by the school.

·       I consent to my child having a nose and throat swab for a lateral flow test which they will self-administer.

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

·       I understand that if my child’s results are negative on the lateral flow test, I will not be contacted by the school.

·       If the lateral flow test indicates the presence of COVID-19, the school will contact me and advise me of the next steps.

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* 1. Name of student:

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* 2. Year Group:

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* 3. Name of parent/carer granting consent or non-consent

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* 4. I confirm that I am able to grant consent on behalf of this student for Covid-19 tests to be administered at school

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* 5. I consent for the student named in question 1 to receive Covid-19 tests at school

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* 6. Date

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