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Personal Details

Please complete the details below accurately, this information will be used to populate the result report. Correct contact information is crucial to ensure that you receive your report with the specified turnaround time.

Location Details

Please complete with a full address, this information is compulsory as regulated by the Department of Health.

Payment Details

Please indicate your method of payment. Tests on account must indicate which group/organization the test should be billed to. An invoice will be provided to claim testing fees back from medical insurers.

Guarantor Details

This section is to be completed by the person responsible for payment of the test. Complete with your own information if part of an account.

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