Registration

Location/Event: *

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SARS-CoV-2 Test: *

Please select test type to continue

Testing Times: *

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First name: * As on your ID for Certificate

Please fill out this field. No special characters allowed.

Surname: * As on your ID for Certificate

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Birthdate: *

Please enter a valid date (DD.MM.YYYY).

Gender: *

Female

Male

Please select a gender.

Telephone: *

Please enter a valid phone number.

Email Address: *

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SWISS COVID App Transfer Code (optional):

Please enter a valid transfer code.

Passport Number (optional):

Please enter a valid passport number.

Home Address

Country: *

Please select a country.

Street Address: *

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Postal Code: *

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Town: *

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I have a Swiss Health Insurance Number

If you don't have a health insurance number you will be charged for the test.

Health Insurance Number: *

80756

Health insurance number invalid.

Please carefully check that all the details are correct. Thank you.

Location/Event:

Testing:

Name:

Birthdate:

Gender:

Telephone:

Email:

Passport:

SWISS COVID App:

Address:

Health Insurance Number:

I agree to pay for the Test

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I confirm that all details are correct and agree to the terms & conditions

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I confirm that I am healthy
(if you are ill, please call +41 (0)81 830 80 48)

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I agree that my data may be passed on to other service providers (e.g. laboratory), insurers and the authorities if necessary.

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I have taken note of the information on data protection.

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