Consent for RT-PCR by Sorcha Biotech 

  

I authorise Sorcha Biotech to carry out a PCR test for SARS-CoV-2 for me for the extraction of coronavirus RNA and real-time polymerase chain reaction (rt-PCR) analysis of the RNA to detect COVID-19 infection and genomic sequencing if positive. 

I accept that the process involved required to obtain a sample involves collecting material from my throat and nose with a swab and that I may find this process unpleasant.  

I accept to perform this under supervision of one of the Sorcha Biotech trained staff. 

I agree to closely follow the instructions included in the test kit provided by Sorcha Biotech for performing the swab test at home. 

  

I acknowledge that Sorcha Biotech are required to report all test results to the corresponding Public Health authorities in the relevant parts of the UK as per the following legislation, Public Health (Control of Disease) Act 1984 and the Health Protection (Notification) Regulations 2010, The Public Health etc. (Scotland) Act 2008 (Notifiable Diseases and Notifiable Organisms) Amendment Regulations 2020 

I understand that the Laboratory will be unable to erase my test results, which are required as evidence of clinical practice.  

  

I understand that Sorcha Biotech will be responsible for receiving my results and communicating them to me.  

  

I understand that the Sorcha Biotech PCR test is not to be used if I am experiencing symptoms of COVID 19 or have had recent contact with someone confirmed to have COVID 19. It is for my own records and for the purposes of travel.  

  

I confirm that I have read and understood the purpose for which the sample and data collected will be used.