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Making an APPOINTMENT
Please fill out the correct information as per your Passport for use in the RESULT REPORT and Fit to Fly Medical Certificate.
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* Indicates required question
Email
*
Your email
First Name (according to passport)
*
Your answer
Family Name (according to passport)
*
Your answer
Gender
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Passport Number
*
Your answer
Nationality
*
Your answer
Flight Date and Time
MM
/
DD
/
YYYY
Time
:
AM
PM
Flight Destination (Country)
Your answer
Service Promotion Online Test at The Clinic
*
Choose
RT-PCR 24 Hrs : 1,499 THB (RT-PCR Result Only)
RT-PCR 24 Hrs : 1,599 THB (Include a Fit to Fly Medical Certificate)
Same Day RT-PCR 8-12 Hrs : 1,999 THB (RT-PCR Result Only)
Same Day RT-PCR 8-12 Hrs : 2,099 THB (Include a Fit to Fly Medical Certificate)
Ultra Urgent RT-PCR 2-4 Hrs : 3,990 THB (Free! a Fit to Fly Medical Certificate)
Rapid Antigen Test 15-20 Min : 500 THB (Result Only)
Antigen Test 15-20 Min : 550 THB (Include a Fit to Fly Medical Certificate)
On-Site RT-PCR 24 Hrs : 1,990 THB (RT-PCR Result Only)
On-Site RT-PCR 24 Hrs : 2,090 THB (Include a Fit to Fly Medical Certificate)
Group RT-PCR
Appointment Date and Time
*
The date you wish to come for the test at the clinic
MM
/
DD
/
YYYY
Time
:
AM
PM
Where is the RT-PCR test performed?
*
See details on the web page
Contact-Map
The Tourist Clinic - Patong Phuket
Paweena International Clinic - Muang Phuket
A Umbrella Clinic Lab - Chalong Phuket
On-Site at Hotel - Home
Name of Hotel and Room or Address of Home
(On-Site case only)
The appointment location that wants us to come to you.
Your answer
Mobile number or Whatsapp
Mobile number or Whatsapp number where we can contact you.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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