School Signup - School Health Check

What is the name of your school? *

What is the site and address of the school where testing will take place? *

Who is the contact for the school? *

What is the school contact email address?*

What is the direct line number of the school contact? *

+44

What service does your school require? *

Vision

Hearing

What year groups would the school like to test? *

Pre-reception (3 year old)

Reception (4 year old)

Year 1 (5 year old)

Year 2 (6 year old)

Year 3 (7 year old)

All age groups up to age 11

Approximately how many pupils are you targeting for screening?

What date does your school want to test on? SECOND CHOICE *

What date does your school want to test on? THIRD CHOICE *

Can you confirm that you have one testing room for vision (minimum 3 metres long) and one for hearing (fairly quiet)? *

Vision Room

Hearing Room

Are there any other details that School Health Check requires that will help us deliver the screening tests at your school?

Booking form for School Health Check