Consent for Covid-19 Lateral Flow Testing

Consent

Please complete this form when you have read the information supplied by the school. Please be aware that students should not come into school for testing (or for any other reason) if they have Covid-19 symptoms or if they are Covid-19 positive.

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* 1. First Name of Student

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* 2. Last Name of Student

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* 3. Year group of student

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* 4. Terms of consent

1. I have had the opportunity to consider the information provided by Highgate Wood School about the testing, ask questions and have had these answered satisfactorily, based on the information presented on the school website, including the linked 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 If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test.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, otherwise I understand that assistance is available. In the case of under 16s or students 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 above 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day of testing they do not wish to take part, then I understand they will not be made to do so and that consent can be withdrawn at any time ahead of the test.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. This test will happen in school under supervised conditions. (Parents\carers or other family members are not permitted to be in the school during the testing process)

6. If the lateral flow test indicates the presence of COVID-19, I understand that I will need to arrange for a confirmatory PCR testing. This test will not be provided by the school but the school will assist with providing information about how to arrange the confirmatory test.

7. I understand that I will not be contacted by the school if the test is negative.

8. If the lateral flow test indicates the presence of COVID-19, I will be contacted by the school and asked to take my child away from school premises as promptly as possible.

9. I agree to follow the guidance from Public Health England and the Department of Education that is in place at the time (we will endeavour to provide links on the school website for the most up-to-date guidance)

Please click here to signify your agreement

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* 5. Date of Birth of Student

Date / Time

Date

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* 6. Gender of student – this information is needed for Department for Health and Social Care research purposes.

Male

Female

Prefer not to say

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* 7. Ethnicity of student- 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

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* 8. Home Postcode:

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* 9. Email Address – this is where test results will be sent

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* 10. Mobile Number – this is where test results will be sent. Please do not put a landline number – you can only receive test results to a mobile number.

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* 11. Name of parent/carer giving consent (your name)

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* 12. Relationship to student

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* 13. My child is currently showing Covid-19 symptoms

Yes

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* 14. Today’s date

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* 15. Details of any health or accessibility issues which might affect a child’s safe participation in the testing exercise.

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* 16. Please click the agree button below to formally give your consent to the above named student taking part in the covid-19 testing programme.

Agree