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Covid-19 Rapid Antigen Swab Test Consent Questionnaire

Please complete the questionnaire in full in order to receive the results from your Covid-19 Rapid Antigen Swab Test.

All data collected is completely confidential.

Covid-19 Rapid Antigen Swab Test Consent

Please confirm that you are completing this consent for all future Covid-19 rapid antigen swab testing as a part of the workforce screening programme or for international travel purposes *

Data Sharing Consent

Please note these options must be ticked to be able to proceed with the test.

I consent to being contacted to clarify information for anonymised medical resarch into Covid-19 in the general population. *

In the event of a positive result, I understand that the company conducting the test has an obligation to notify Public Health Wales (or England / Scotland as applicable) of the result. *

I understand that all information regarding the testing process will follow all relevant data protection regulations. *

Personal Data

Please complete the following for Test, Track & Trace purposes

Gender *

A copy of your responses will be emailed to the address you provided.

To find out how your personal data is collected and processed, please read our full privacy notice or contact Covestus Ltd. by email or by mail: Covestus Ltd. 1 Pulteney Road, Bath BA2 4HD.