COVID-19 Rapid Antigen Test
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Email *
Name and Last name ( exactly as your passport) *
Telephone Number *
Date of Birth *
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Gender *
Please indicate if you are experiencing any symptoms ( Coughing, Fever, Shortness of breath or Sore throat) *
Please Specify which symptoms you are experiencing ( select all that applies )
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Do you Authorize Sanomed or their collaborating Lab to email you your certificate ? *
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