JACE Medical Covid Testing

COVID Test
What covid test do you require?
Is your test to facilitate travel
Page Jump

Your Details

Please ensure your details are correct
Do not delete this field.
Name

First NameSurname
Gender
Date Of Birth

DayMonthYear
Email
example@example.com
Phone Number
Passport Number
Ethnicity
Address

Street Address

County

CityCounty

Postal / Zip CodeCountry

Appointment Time

Please select the time of test
Please select appointment time required
If you require an appointment outside this time, please contact us and we will do our best to accommodate.

Appointment Location

Please select the location of test
Do you require a mobile appointment (This will require a supplemental charge)
Your test will be perfromed at JACE Medical, The Vale Centre, Greysteel, BT47 3GE
Your test will be performed at:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address preference
Location of Test

Outcome - Antibody
Test ID
Time of Sample

DayMonthYear

Minutes
Time of test

DayMonthYear

Minutes
Please mark outcome
var1
var2
detected/not detected

Outcome - Antigen
Test ID
Time of Sample

DayMonthYear
Date
Minutes
Time of test

DayMonthYear
Date
Minutes
Please mark outcome
Detected/not detected (antigen)

Outcome - Rapid PCR
Test ID
Time of Sample

DayMonthYear

Minutes
Time of test

DayMonthYear

Minutes
Please mark outcome
Please enter the CT Value
Detected/not detected (PCR)

Outcome - PCR
Test ID
Time of Sample

DayMonthYear

Minutes
Time of test

DayMonthYear

Minutes

Checkout
Your test ordered
Coupon Code
Coupon Code has been applied.
Total Amount {totalAmount}
Total Amount
Your test ordered

prevnext( X )
GBPTotal Amount
Should be Empty: