PCR Test Form
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In the past 10 days, have you had any cough, fever, difficulty breathing, loss of smell or taste, diarrhoea, vomiting, sore throat, or any other related symptoms?
Have you been in contact with anyone suspected/tested positive for coronavirus or do you think you may be positive?
In the case where there are more people getting tested, does anyone agree with the previous questions?
By selecting yes, I confirm that all answers provided above are to the best of my knowledge correct.
Please select the date in which you wish for the test to be performed.
By selecting yes, I confirm that I am certain that this is the test which I need and I also acknowledge that this is a paid service.
You may leave any notes down below.