COVID-19 Day 2 & Day 8 Test Pack
19 Kensington High Street, London, W8 5NP
Inbound Tests - Arriving Into The UK
Select Your Test Package (Add Test-to-Release to Reduce Isolation by 5 days early)
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Day 2 & Day 8 Test Pack
Day 2 & Day 8 Test Pack + Test-To-Release
Would You Like to Upgrade to the Express Service, to get your Results in as little as 3 hours?
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Yes (Results in 3 Hours)
No (Results in 24 hours)
Outbound Tests - Departing From The UK
Do you Require Tests for your Departure Flights From the UK?
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Yes
No
Select Type of COVID-19 Test
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Fit-to-Fly PCR Test
Fit-to-Fly Antigen Test
Would You Like to Upgrade to the Express Service, to get your Results in as little as 3 hours?
*
Yes (Results in 3 Hours)
No (Results in 24 hours)
Patient Details
Patient Name
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First Name
Last Name
Date of Birth
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-
Day
-
Month
Year
Gender
*
Male
Female
Country of Residence
*
Ethnicity
*
Passport Number
*
Are you Vaccinated
Please Select
No
Yes (1 Dose)
Yes (2 Doses)
Address (Where you will stay in the UK)
*
Street Address
Street Address Line 2
City
Town / County / Province / State
Post Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Contact Number
*
Email
*
Travel Information
Date & Time of Your Arrival In The UK
*
-
Day
-
Month
Year
Country You Are Arriving From
*
Flight / Train / Vessel Number
*
Flight Day
*
-
Day
-
Month
Year
Consent
By continuing with your booking you understand that you must not attend if you're presenting any COVID-19 symptoms including a temperature above 37.8°C, a persistent cough or have difficulties breathing. You may attend the centre once your symptoms have resolved and/or you have completed self-isolation for 10 days.
*
I, the above-mentioned patient, I hereby agree and confirm that the information provided in this request form is true and complete. I authorise Prince Pharmacy to forward the related information to governmental agencies if required to do so. I agree to self-isolate until my test is completed. If I test positive, I adhere to the current government guidelines relating to the COVID-19.
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- Internal Use -
Test Appointments & Certificates
Test Centre
160 Edgware Road, London, W2 2DS
99 Edgware Road, London, W2 2HX
40 Knightsbridge, London, SW1X 7JN
19 Kensington High Street, London, W8 5NP
Fit-to-Fly Test Appointment Slot
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Day
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Month
Year
Date
Hour Minutes
Test-to-Release Appointment Slot
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Day
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Month
Year
Date
Hour Minutes
Test Time & Date
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Day
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Month
Year
Date
Hour Minutes
Report Issued
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Day
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Month
Year
Date
Hour Minutes
SARS CoV-2 Result
NEGATIVE
POSTIVE
Detection of SARS CoV-2
NOT DETECTED
DETECTED
STATED SYMPTOMS ASSOCIATED WITH COVID-19
NONE REPORTED
Other
Fit-to-Fly
Yes
No
D2/D8 Test Provider
Randox
360
D2/D8 Provider Cal
FTF Provider
TDL
Randox
360
FTF Provider Cal
Email Logic
qrcal
Package Calculation
Email Add. Tests
Add Test-to-Release To Reduce Isolation Period By 5 Days? (Do-not-use)
*
Yes
No
Certificate Number
Unique Reference Number
Booking Reference Number
TTR Cert.
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FTF Cert.
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Day 2 Cert.
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Day 8 Cert.
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