COVID-19 Test Booking
We are an MOH-approved COVID-19 test provider

Appointments are available DAILY including weekends and Public Holidays
Hotline : 8814-2803
- please fill in one form PER PERSON
--------------------------------------------------
TEST PRICING :
PCR Swab                     : $68.00 nett
COVID-19 ART              : $30.00 nett
--------------------------------------------------
Please note :
It is possible that unforeseen delays may occur in the transport and processing of swab specimens as well as in conveyance of results.  We shall not be held responsible or liable in any way for any claims, damages, losses, expenses, costs or liabilities whatsoever (including, without limitation, any direct or indirect damages for costs, loss of income, revenue or profits, business interruption) resulting or arising directly or indirectly from your use of our test services.

In the event that the results cannot be furnished within 4 hours of your departure due to lapses of service on our part, we will refund the full cost of the test.  All travellers taking the Pre Departure COVID-19 PCR test, are responsible for checking your appointment and testing window is in line with your destination country’s guidelines and requirements.

In the event that an inconclusive test result is obtained, a repeat test will need to be conducted and is separately chargeable.  Should this result affect your departure, we shall not be held responsible or liable for any claims, damages, losses, expenses, costs or liabilities.

Please ensure that the appointment indicated is within the required testing window of your destination country. The required testing window varies according to  destination country and is calculated based on your flight timing. You should book your Pre-Departure COVID-19 PCR test at least 2 days (e.g. for China) or 72 -96 hours prior to your flight (whichever is applicable based on requirements set out by your destination country).
Sign in to Google to save your progress. Learn more
Patient / Client Name - 姓名 *
Please use your full name as in your NRIC / Work Pass / Passport
Gender - 性别 *
NRIC / FIN (if applicable, otherwise "NA") *
Date of Birth - 出生日期 *
MM
/
DD
/
YYYY
Mobile Contact Number - 手机号码 *
Do you use WhatsApp? 您使用WhatsApp吗? *
Should you not have a WhatsApp-linked mobile number, the confirmation for your appointment will be sent to the given email address.
Address - Block / House No - 地址 - 大牌
Enter the block / house number of your home address
Address - Road / Street Name - 地址 - 路 / 街名
Enter the name of the road / street of your home address
Address - Floor/Unit Number - 地址 - 楼层 / 门牌 *
Enter the floor / unit number without # and separated with a dash e.g. 08-03
Address - Postal Code - 地址 - 邮政编码
Enter the 6-digit postal code of your home address
Email Address - 电子邮件地址 *
Health Certificates will be sent to this email - 健康证明将发送到此电子邮件
Citizenship - 国籍 *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of AspenHealth. Report Abuse