Register Your PCR/Antigen Test

Register your test

Patient receives email notification that their test kit has been registered

Roshni Testing Lab Receives Your Testkit

Laboratory Starts to Process the Test

Patient Receives the Test Result by Email In the Form of a Certificate

REGISTER YOUR FIT TO FLY - PCR/ANTIGEN TEST

This form should be used if you have received a COVID PCR/ANTIGEN HOME TEST KIT or you have collected your PCR/ANTIGEN test using the CLICK and COLLECT service. Please do your swab test and register your name and details with the unique number on the test kit so we can send you your results by email in the name of the person who has performed the test.

Step 1 of 3

You Are Registering:(Required)

Fit To Fly

Day 2/8 Test

Unique Reference Number*(Required)

Confirm Reference Number*(Required)

Name(Required)

Date Of Birth(Required)

Gender(Required)

Phone(Required)

Email(Required)

Address(Required)

Ethnicity(Required)

Country Of Residence(Required)

Passport Number ( If required for travel)

Do you have any symptoms?(Required)

Date you used the swab :(Required)

Must be in the last 48 Hours, Please note the swab date/time cannot be in the future!

Time you used the Swab:(Required)

Must be in the last 48 Hours, Please note the swab date/time cannot be in the future!

Upload Image Of test(Required)

Max. file size: 128 MB.

Please attach photo of result & photo ID (passport, driving license)

Hidden

I wish to participate in the Test to Release or Day 2 / Day 8 scheme(Required)

Type Of Test

Have you received your vaccine?

Are you self isolating at your previously entered address?(Required)

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Booking Reference Number(Required)

Your Booking Reference Begins With ROSH*

Date of arrival(Required)

Flight/Coach/Vessel Number:(Required)

Country you travelled from:(Required)

Departure Date(Required)

NHS Number:

Any country or terrority travelled through on journey:(Required)

Last date departed through non-exempt territory:

Consent(Required)

I consent to the processing of my data according to Roshni Clinic privacy policy. I agree to Roshni Clinic processing my sample. I have read and understand Roshni Clinic terms and conditions.