Name

Email Address

Telephone Number

What is the name (forename and surname) of the person who has been tested?

Please select the tested person's group Please select the tested person's group Group N Group R Group O Group S Group E Year 10 Year 11 Staff

What day was the lateral flow test taken What day was the lateral flow test taken Yesterday Today

What was the result of the test? What was the result of the test? Positive (if the LFT result is positive please self isolate; arrange a PCR test and report the positive test to school) Negative Void (if you have two void LFT results please self isolate; arrange a PCR test and notify school of the absence as usual)