RAPID TEST QUESTIONNAIRE

PCR TEST QUESTIONNAIRE
CORONAVIRUS DISEASE 2019

Please fil in the Feilds of the form, answer the questions, sign & press Submit Button.
You will receive the results in your E-mail, within 24-36 hours.

Full Name*

Contact No*

Passport No*

Country of Origin*

Date of Birth*

Date of Examination*

Time of Examination*

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On my own responsibility I hereby declare that all the information given above is true to the best of my knowledge and beliet

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WE STRONGLY RECOMMEND TO RE-PERFORM THE TEST IN 7 DAYS

*We inform you that by law we are forced to announce Isubmit your test results to the following Greek Health Authorities: Cyclades Medical Association & EODY.GOV.GR - National Public Health Organization

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