Request for Asymptomatic COVID-19 Swabs

Use this form to request an asymptomatic COVID-19 swab to be completed at either Johnsonville Medical Centre or Thorndon Medical Centre.

Please complete this form for each person requiring a swab.

Name *

First Name Last Name

Current NZ Address *

Street Address

Street Address Line 2

City

Postal / Zip Code

Date of Birth *

Best contact number *

Area Code Phone Number

Is either Johnsonville Medical Centre or Thorndon Medical Centre your regular medical centre? *

Yes No

Do you know your NHI (National Health Index) Number? *

Yes No

Please enter your NHI: *

Please upload an photo or scan of your passport's photo page so that we can find your NHI *

Browse Files

Email address

example@example.com

Where would you like to have the swab taken?

Johnsonville Medical Centre Thorndon Medical Centre

What is the reason for your swab

International travel Employment Related

First overseas destination country

What date are you leaving NZ?

Travel to China currently requires 2 swabs, one each day prior to the date of your international flight. We will book your swabs early in the morning on each day, in order to maximise the time available for the lab to process these swabs.

Because the Chinese government requires that the second swab is the day before the date of travel, we cannot guarantee that you will receive the result before your flight, in which case you may not be able to travel. Unfortunately this is completely out of our control, as these requirements come from the Chinese government and we cannot influence laboratory testing schedules.

Do you (either the person receiving the swab or their caregiver) agree that Wellington Medical Group are not responsible in the event that either of your swab results do not arrive in time for your departure processes.

Yes, I agree No, I do not agree

Unfortunately we cannot proceed with these swabs without your agreement regarding responsibility for the swab results, given the significantly shorter timeframes required by the Chinese government.

Please contact us on 04 920 8850 to discuss your concerns.

Aymptomatic swabbing related to employment is discouraged by the Ministry of Health, in order to manage testing capacity. If you feel that you circumstances do require a swab despite this (e.g. your work is related to the border or high risk), please submit the form and we will discuss this with you.

Do you have a specific date that you need your result?

Yes No

Date the result is required

Asymptomatic COVID-19 tests for travel or employment are not funded by the NZ Government.

The cost of a swab is $276 including GST per swab. This includes the collection of the swab, the administration of the sample, the transport and testing of the swab at Wellington SCL and the sending of the result to you.

Please note that, for individuals, payment is required prior to the swab being taken, and where an organisation is paying for the swab, the result is not released until payment is received.

Who is paying for this swab? *

The person being swabbed or their caregiver Another organisation

Name of the organisation paying + person organising the asymptomatic COVID-19 swab?

Contact number for person paying for/organising the swab

Area Code Phone Number

It can normally take up to 48 hours for us to receive your result, and this can be up to 72 hours when there are a higher than normal level of swabs being processed.

We will do out best to accomodate the swab in time for the result, but this cannot be guaranteed.