Appointment Request Form

Select Testing Procedure:

Persons to be tested

RT-PCR (Result within 24 hours) – P2999 – (Home Service Free for minimum 2 persons, P750 for single person)

RT-PCR (Result within 12 hours) – P3999 – (Home Service Free for minimum 2 persons, P750 for single person)

RT-PCR (Result within 6-8 hours) – P4999 – (Home Service Free for minimum 2 persons, P750 for single person)

Rapid Antigen Test – P950 per person (Home service Free for minimum 4 persons, P750 each for 1-3 persons)

Temporarily Unavailable

Select Date:

Select Time:

Select Testing Location:

City:

Barangay:

House or Unit no. / Bldg Name:

Street:

Personal Information of Point Person:

First Name:

Last Name:

Mobile Number:

Email: