Coronavirus Test Order Form

Coronavirus (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 International Travel (Day 2 and Day 8 or Test to Release).
First Name*
Last Name*
Date of Birth*

DayMonthYear
Gender*
Your Email*
example@example.com
Mobile Number*
Passport Number
Optional
Billing Address*

Street Address

Street Address Line 2

City

Post CodeCountry
Is shipping address same as billing address?*

YesNo
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry

Choose your COVID-19 Home Test*

COVID-19 Antibody Test [SCOV]£60.00

OVER 18s ONLY. Test detects whether you’ve developed antibodies specifically to the SARS-CoV-2 virus. The test is a self-administered finger-prick test that is then sent via return post to our laboratory for analysis and results within 1-2 of them receiving it. Tracked Next Day Shipping is included.

Enter coupon

Subtotal £0.00Tax £0.00Total £0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

If you don’t want to receive relevant customer communications about our testing and services, please contact us at optout@londondoctorsclinic.co.uk.
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Coronavirus (Covid-19) Test Order Form