Staff Covid Home-Testing Record
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Name *
Date of Test *
MM
/
DD
/
YYYY
Result of Test *
Result uploaded to the NHS (You must report your result to the NHS) www.gov.uk/report-covid19-result *
Did you have any issues that you have reported? In the unlikely event of you having issues with your test kit such as missing items or if you have been harmed or had a reaction whilst taking the test such as a swab breaking in your mouth, bleeding or an allergic reaction you should report it here https://coronavirus-yellowcard.mhra.gov.uk/ *
What were the issues you have reported?
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