Jonathan Tremblay

MEDPLUS FAMILY MEDICAL CENTER

Telephone: 509 3 193 6868

Email: medplushaiti@gmail.com

Facebook | Twitter: @medplushaiti

SARS-CoV-2 Test – Result Certificate

 

Name: [    ]                                          Date of birth: [dd/mm/yyyy] 

Gender: [  ]                                          Passport number: [    ]

Specimen Type Specimen Date Test
Nasopharyngeal Swab [         ] Rapid Antigen

Date reported: [   ]

Result:  SARS-CoV-2    [     ]

Sample tested using CareStart COVID-19 ANTIGEN approved for the detection of SARS-CoV-2

TESTING CENTER: MEDPLUS FAMILY MEDICAL CENTER

Date: [   ]  

Signature:              

 

Published
Categorized as COVID