PCR TESTING - Tramore Medical Clinic

Name - As it appears on your passport *

Passport Number

Date of Birth *

Date of Travel *

Gender *

Male
Female
Unknown

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email - The results/certs will be sent here. *

Mobile - Irish mobile number only *

Do you require a travel cert with a QR code? *

Yes
No

Please confirm the below.

I confirm I have no symptoms of Covid
I confirm the above details are correct & match my passport details
I understand these details cannot be changed once submitted

I understand Tramore Medical Clinic are providing me with a certified professional PCR test and do not offer guidance with regard to use for travel. I will establish any requirements regarding test type and valid use dates myself. The results will be returned from the lab within 24 hours via text & email.

Date *

Signature *

OUR PRACTITIONERS

TRAMORE MEDICAL CLINIC

OPENING HOURS

OUR PRACTITIONERS

TRAMORE MEDICAL CLINIC

OPENING HOURS

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