Maternity/Neonatal Partner and Parent LFD Testing Registration

This form is to register for partner or parent Lateral Flow Testing. Lateral Flow Testing is in place for partners accompanying women in labour and for parents visiting their babies in the Neonatal Unit. 
 

1. Partner's/Parent's Name *

*
*
 

2. Partner's/Parent's Date of Birth *

   DD/MM/YYYY 
 
 

3. Gender *

 

4. Address *

 

5. Have they previously had an appointment at Guy's or St Thomas' Hospitals? *

 

6. If yes, what is their hospital number or NHS number?