Patient Form

Important information

Fit to Fly:

It is important that you are aware of the entry requirements for your destination country so that you know when to take your test and when your result is required. In order to give us as much time as possible to process your sample in time for your travel date please check on each countries individual requirement here: https://www.gov.uk/foreign-travel-advice

All other test types:

What you must do when you arrive in the UK from abroad depends on where you have been in the 10 days before you arrive. Please follow this link for your specific requirements: https://www.gov.uk/guidance/red-amber-and-green-list-rules-for-entering-england

Register your Sample

Sample ID :

Validation Code :

Test Type

Test Type:*

When did you take your test?*

Tracking Number*

Patient Details

First Name*

Last Name*

Date Of Birth*

Email*

Phone Number*

Passport Number*

NHS Number

Gender*

Vaccination Status*

Ethnicity

Isolation Address-1*

Isolation Address-2*

Isolation Address-3*

Isolation Address-4*

Sample Details

Date and Time of Arriving to UK*

Flight/Vessel/Coach/Train number*

Travelling From*

List of additional countries you transited through

Important information

Register your Sample

Test Type

Patient Details

Supporting Evidence

Please upload images relating to your test

Sample Details