PCR TEST PRE - REGISTRATION

Thank you for choosing Mediclinic Middle East.

To request a PCR test, please fill in the information below.

Mediclinic issues all negative PCR tests results automatically via SMS and email. Please ensure the Emirates ID/passport number, mobile number, email and date of birth are correct.

All fields marked with * are mandatory to coordinate your request.

First Name

Last Name

Please provide DUBZ Booking Reference Number

Please provide ATS Booking Reference Number

By ticking this box, I consent to Mediclinic informing ATS Travels of my Covid-19 PCR test results

If traveling to China: By ticking this box, I consent to Mediclinic informing the Chinese Consulate in Dubai of my Covid-19 PCR test results for validation purposes, as per the travel regulations of China.

Please provide your flight date

Emirates ID or Passport Number (if traveling internationally)

Date of Birth

Mobile Number (to receive automated PCR test result SMS)

Email ID

Residential Area

I have read and accept the terms and conditions of use.* This field is required.

Please don't fill out this field if you are a human being*

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