Corona Virus Check

Test type

Rapid Test

0 €

Country

Birthday

Do you have symptoms

Yes

No

If yes, please specify which and since when!

Do you work or receive care in a community facility (daycare, school, nursery, etc.)?

Yes

No

If yes, name and location of facility:

Do you work or receive care in a medical facility (hospital, senior living facility, dialysis center)?

Yes

No

If yes, name and location of facility:

I have read the privacy policy and agree to the processing of my data as indicated.

€

Zusammen gegen Corona