At GoodMed we care about all the people, that is why we require all patients to submit personal data exactly as issued on their ID document, which must be valid. It is of utmost importance that patients describe all of their symptoms truly, accordingly to their health status.The lab results will include all the information shared on this form and no one at the GoodMed team will be able to modify any data on this form.Due to national regulations, all the information shared by you on this form will be checked by the a Ministry of Health of Costa Rica. It is vital that the contact information you provide, such as physical address, phone number, and e-mail address allows the clinical lab or any health national authority to reach you at any time, if needed.We at GoodMed are obliged to share with the Ministry of Health of Costa Rica all the lab results for COVID-19 tests performed at our facilities, for they are part of the epidemiological surveillance program on the current SARS-CoV-2 pandemic.
* Indicates required field
Select the test for SARS-CoV2 you need
Patient is a minor?
For minors (*) or patients with a legal tutor:
This test is for travel reasons?
Geographic location data
Work in Costa Rica?
Have you had symptoms of covid or in contact with a case?