COVID Test Registration Form

Tracing data (as required by Public Health England in the event of a positive result):

Consent - By submitting this form as the patient (or legal guardian of the patient), you are:

  • Consenting to provide a swab which will be sent to the laboratory for the sole purpose of testing for COVID-19
  • Consenting to your details being provided to Public Health England in the event of a positive result (in accordance with legal requirements)

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