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LFD test result reporting form
Please complete this after each LFD test is taken - you also need to record your results by visiting
www.gov.uk/report-covid19-result
or calling 119
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* Indicates required question
Pupil's surname
*
Your answer
Pupil's forename
*
Your answer
Pupil's year group
*
7
8
9
10
11
12
13
Pupil's date of birth
*
MM
/
DD
/
YYYY
Date test taken
*
MM
/
DD
/
YYYY
Test strip ID number (under QR code)
*
Your answer
Test result
*
Positive - I have reported to NHS, school, booked a PCR test and will be isolating as per guidance
Negative - I have reported to NHS and school - can attend school as normal
Void - I will take another test in line with the guidance
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