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Amref Medical Centre COVID-19 Form

Amref Medical Centre COVID-19 PCR Test Online Booking 

You will receive your results within 24 hours of your test via email. .

By completing this booking form, you are in agreement to the booking instructions on the registration form and Terms and Conditions


Please select Adult or Child (Under 18)


Details of Person Taking the COVID-19 Test


Note: Enter the Full Names of Person as they appear on Official Documents like National ID or Passport

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Select Reason For Testing

Please enter Date and Time of Departure

Checkin Time

Enter Passport Number

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Please type your first name.

Please type your full name.

Please type your Last Name

Invalid email address. Please Enter only 1 email address. No spaces after email address!

Please enter phone number

/ / Select Date of Birth

Please select country

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Enter ID or Passport Number

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Emergency Contact


Please type Full Name of Emergency Contact

Enter Phone Number

Parent / Legal Guardian Details


Please type your full name.

Enter Phone Number

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Contact History with infected persons:


Have You Been Vaccinated?

Have You Been Tested Positive Before in the last 14 days?

Please if patient has had any close contact with a confirmed or probable case of COVID-19 in the last 14 days?

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Signs and Symptoms:


Does the patient present with any of the following symptoms?

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