EXACT CHECK DIAGNOSTICS FOLLOW-UP FORM
Dashlabs does not release your results. Dashlabs is the software that powers your laboratory.
ONLY your laboratory has the authority to release your results.  Your submissions will be reviewed by your laboratory.

You may reach Exact Check at 0277565588

Sign in to Google to save your progress. Learn more
Email *
Full Name *
Mobile Number *
Date Swabbed *
MM
/
DD
/
YYYY
Barcode *
Reason for follow-up *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Dashlabs.ai. Report Abuse
Google Forms