Vitality Members: Covid-19 Test Order Form

Vitality Members: Covid-19 Test Order Form

Please complete with the patient's details. Deliveries are to the UK only.
Please note this order form cannot be used for Test to Release.
First Name *
Last Name *
Vitality Membership Number *
Order 1 test per membership number
Date of Birth *

Day Month Year
Gender *
Your Email *
example@example.com
Mobile Number *
Billing Address *

Street Address

Street Address Line 2

City

Post Code Country
Is shipping address same as billing address? *

Yes No
Shipping Address

Street Address

Street Address Line 2

City

Post Code Country

My Products *

Coronavirus PCR Swab Test £ 100.00 GBP

This is a test to determine if you actively have the virus now. The test is a self-administered throat and nasal swab. Results are usually available within 3 days of the lab receiving the samples. Tracked Next Day Shipping is included, and you should receive it within 2 working days from the day of the order.

London: Courier & Collect £ 45.00 GBP

**London Zones 1-4 Only** Upgrade to our next business day Courier & Collect service where a courier will deliver your test(s), wait 20 minutes while you take your sample and then return the samples to our laboratory for analysis.

Covid Pre-Flight Screening Letter Free

Signed doctors letter to confirm the results of your COVID-10 PCR Swab Test. Please check full requirements with your airline well ahead of any planned travel.

Subtotal £ 0.00 GBP Tax £ 0.00 GBP Shipping £ 0.00 GBP Total £ 0.00 GBP

Credit Card Details
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