To book a sample collection for
COVID -19 TEST
Fill the form below.

COVID -19 Test Registration Form

Covid 19 test

Personal Profile

Name
Name
Surname
Firstname
Address
Select your preferred mode of sample collection *

Walk-in

Mobile Phlebotomy

Charges will apply at time of service delivery

VIP

Charges will apply at time of service delivery

SUMMARY PAGE

Confirmation Code: CV9-gdysc434