COVID-19 DRIVETHRU TEST REGISTRATION FORM
Service by appointment between 8.00-12.00 and 13.00-15.00. Package Price is 4,000 Bath. Results will be available in 6-8 hours (Depends on number of people using the service)
Do you have any of these symptoms (You can answer more than one)
Fever, Body temperature above 37.5C
Congestion or runny nose
Hard to breath
In past 14 days before you have any of these symptoms, Have you (You can answer more than one)
Travel from outside of Thailand
Travel to or from outside or has been living in COVID-19 pandemic area.
Owner of a tour company or a professional tour guide or have been contacted with lots of people or have been to the crowded places or busy areas.
Been in crowded places / areas such as markets department stores hospital public transport stations
Been in contact with confirmed covid-19 patients
None of the above
If you had any of a risk above on, you will not eligible to get a Drive Thru Service test.
*Our Nakhon Christian Hospital staff will contact you once you have completed this form.
Guide to our COVID-19 Drive Thru Service
1. Scan QR CODE to make an appointment.
2. Complete the registration form
3. Choose date/time of service (Our staff will confirm the date/time with you again)
4. Make a payment of 4,000 Baht via QR CODE and send slip to LIINE ID @nchhos
5. Drive to our Drive Thru Service station on appointment date/time
6. Lower vehicle window for our staff to perform swab test without getting out of the vehicle.
7. Drive home and wait for test results which will be available in 6-8 hours (Depends on number of people using the service)
Part 1. Patient Informations
Date of Birth
Travelling with personal vehicle. Vehicle Make and Model / Colour / Licence No.
Part 2. Appointment
Date of Service
Time of Service (8.00-12.00 and 13.00-15.00)
Part 3. Payment Method
Bank transfer Krungthai Bank 363-0-45010-5 (Please send slip to @nchhos)
QR CODE for Mobile Banking Payment
Part 4. COVID-19 Results Report Channels
Via LINE (please check for correct spelling)
Via E-MAIL (please check for correct spelling)
Via Telephone (Our staff will contact you through this No.)
Part 5. Medical Certificate
I have no need for Medical Certificate.
Medical Certificate for date of examination (Extra cost 200 Baht)
Medical Certificate with diagnosis (Extra cost 200 Baht) will be given with test results
Medical Certificate FIT TO FLY (Extra cost 200 Baht)
I agree to the terms and conditions.
I accept to take the test and willing to use the service.
I refuse to take the test and not using the service.
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