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Please fill out the below form and a member of our team will get back to you as soon as possible.

We'll call back within 24 hours.

Name*
First Last
Date of Birth
DD slash MM slash YYYY
Email*
Phone number*
Which type of test/service do you require?*
Hidden
Pre travel test ‘Fit To Fly’
Do you need a PCR or Rapid antigen (lateral flow) test?
Sex / Gender
Destination
Date of travel or flight
MM slash DD slash YYYY
Time of travel or flight

: Hours

Minutes
What is the time window you need your results to be valid for?
If you need a booking for any other members of your family/group, please provide their Full Name (as it appears on passport), Date of Birth and Passport or ID Number here.
Passport number
Day 5 Test To Release
Sex / Gender
Ethnicity
Please provide the address of where you will be isolating
Address Line 1
Address Line 2
City
Postal Code
If you need a booking for any other members of your family/group, please provide their Full Name (as it appears on passport), Date of Birth and Passport or ID Number here.
Passport number
NHS number (if known)
Date of arrival in the UK
MM slash DD slash YYYY
Time of arrival in the UK

: Hours

Minutes
Passenger Locator Number, if known, as found on your passenger locator form
Flight number, coach number or ferry name
The destination you travelled from, and any country you travelled through on your journey to the UK
The date you left the last country before entering the UK
MM slash DD slash YYYY
Vaccination status

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BY DORSET PRIVATE GP