Please complete this form before you attend your appointment. Booking is not guaranteed until you have called to book an appointment and submitted this form.
IMPORTANT: Please ensure ALL details are correct because these details will be used to generate your results/certificate.
Please do NOT attend your appointment if you have any symptoms.
Check your symptoms first:
https://111.nhs.uk/covid-19.
Disclaimer:
- Yakub Chemist are not responsible for any charges incurred in the unlikely event that you do not receive your results before your flight. Results may be negative, positive, or unclear.
- The test is non-refundable once sample is taken, irrespective of the results or circumstances. All results are automatically reported to UK Health Security Agency (UKHSA) (formerly Public Health England (PHE))
- If you test POSITIVE for COVID-19 then UKHSA/NHS Track and Trace will automatically be notified. If you test POSITIVE you MUST self-isolate and follow the Government guidelines.