COVID-19 TEST REQUEST

FORM

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Name and last name (passport)

Passport number

Birthdate

Month:	Day:	Year:

Age

Address in Costa Rica

Reason for the test

Nacionality

Tutor

Phone number

E-mail address
The test result will be sent to the email provided

Secundary E-mail (Optional)

Language of the result

PDF file in?

Select the type of test you need

PCR or Antigen?

Flight Information

¡Important to know when is the right time to test!
Departure date:

September 2023

Sun

Mon

Tue

Wed

Thu

Fri

Sat

Please select the departure date

Search available spaces

The Laboratory TheLabGroup will not be responsible for the use made of the test result that the client requests. The client assumes all responsibility for the data provided, the dates he manages for his departure to the country and for the changes he makes with respect to his flight reservations and releases the Laboratory TheLabGroup from all responsibility in terms of everything related to his travel dates. The client accepts that he has full knowledge of the requirements established by the airlines regarding the use of the test to leave the country.

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