Reservation for testing at home or office for PCR Test

    • Please choose ”pick up”, or "Shipping" the kits.

    • Please take Saliva sample two or three days before the flight departure, then bring it to our office on the same day.(except Sat, and Sun)

    • If you choose mail shipping of the test kit, please allow to receive it in 5 business days.

    Your Information

    Name*

    Mail Address*

    Phone Number*

    Patient's Information

    The way to get the Kit*

    Address（If you want Kit shipped）

    Date*

    Time*

    Number*

    All Patient Information(Important)*

    Please fill out following 3 information

    ・Name・Family name
    ・Date of Birth
    ・Email address receivable the PCR results

    ie:
    1. Tom Cruise, 03/24/1985, tomsmail@gmail.com
    2. Alicia Keys, 10/18/1987, aliciasmail@gmail.com

    Request etc.

    • Please call or email us by two hours before the reservation, if you would like to Cancel or change it.

    • Please review all again. Airline reject your boarding if the information is not right, even one letter.