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The Hayesbrook School

The Hayesbrook School

Staff NHS Test and Trace consent 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.

Terms of consent
1. I have had the opportunity to consider the information provided by the school, ask questions (which have been answered satisfactorily) and have been issued with a copy of the Privacy Notice.

2. I consent to having a nose and throat swab for lateral flow tests. I will self-swab and I understand that assistance is available.

3. I understand that there may be multiple tests required and this consent covers all tests for the person named below. If, on the day of testing I do not wish to take part, then I understand I will not be made to do so and that consent can be withdrawn at any time ahead of the test.

4. I consent to be tested for the presence of COVID-19.

5. If the lateral flow test indicates the presence of COVID-19, I consent to having a nose and throat swab for confirmatory PCR testing. I will follow the instructions on the PCR Kit to return the test the same day to an NHS Test & Trace laboratory.

6. If the lateral flow test indicates the presence of COVID-19, I commit to ensuring that I will leave the school premises as promptly as possible, bearing in mind I may have some anxiety following a positive test result.

7. 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.

8. I agree that if my test results are confirmed to be positive from this PCR test, I will report this to the Head of School and I understand that I will be required to self-isolate following public health advice.

9. I consent that if a close contact of mine tests positive but I have tested negative, I will continue to attend school but will be tested every day at school for 7 days.

Is consent given?*