Pyser Testing Registration Form

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Please fill out the registration form AFTER purchasing your test and BEFORE your appointment

*Ensure all information is correct and accurately entered*

Pyser Testing is not responsible for incorrectly recorded information and cannot amend certificates after results have been sent

Your data is removed from this system after the result has been issued

The email requested below is for us to send you your responses to this form as well as your results

Email *

Date of Appointment *

YYYY

Time of Appointment *

The time of your appointment

Time

First Names *

Last Name *

Sex *

Male

Female

Date of Birth *

YYYY

Phone Number *

What is Your Ethnicity *

NHS Number

Answer if known and applicable

Vaccination Status *

You can confirm that you have an accepted vaccine from a listed country here: https://www.gov.uk/guidance/countries-with-approved-covid-19-vaccination-programmes-and-proof-of-vaccination

Not Vaccinated

Fully Vaccinated

Not Known

Travel ID Type *

Passport

Driving Licence

National ID

ID Number *

Home Address *

Home Address Postcode *

Isolation Address *

(MUST BE A UK ADDRESS) If same as home address, please repeat entry here

Isolation Address Postcode *

(MUST BE A UK POSTCODE)

Type of Test *

Fit to Fly LFT

Fit to Fly PCR

Day 2 PCR

Test to release (Day 5)

Day 8 PCR

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