Home-based COVID-19 Booking Form
Thank you for choosing TIBU for your C-19 testing! Please fill the form below for each person to be tested and to reserve your C-19 test.
- C-19 testing with TIBU is currently 6800 KES per person (if you find cheaper, let us know). Sample Collection fees of 2,500 KES are waived when three (3) or more individuals book for the same location.
- Payments details will follow the submission of this form and are made to Mobile Consultations Africa Limited
- Please email email@example.com for corporate pricing.
- Please contact firstname.lastname@example.org for 5 bookings or more
1. Due to high demand, please submit your form 24 hours in advance. We are no longer able to process same day bookings.
2. Turn around time for results is up to 48 hours, but we do our level-best to get them back within 24.
3. Results are returned ONLY to the email indicated in the reservation form. Results can be sent to third parties once we receive consent from the individual tested.
4. Bookings are confirmed ONLY when payment has been made.
5. Once bookings are confirmed, you will be contacted by one of our healthcare workers to confirm your details and the time and location for the C-19 testing.
6. Sample collection can only be done from Monday to Saturday.
Please enter your FULL NAME
Please enter your AGE
Prefer to not say
Please enter your NATIONAL IDENTIFICATION NUMBER (Note: we use this as a unique identifier with the lab ONLY)
Please enter your MOBILE NUMBER so we can reach you with the results.
Have you been exposed or in contact with a known COVID-19 case?
Do you have any recent history of travel?
Are you experiencing any of the following symptoms?
Severe difficulty breathing
Severe chest pain
Please enter the FULL address for sample collection and testing.
Please enter the preferred date for sample collection
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This form was created inside of mMD Africa.