Request for Asymptomatic COVID-19 Swabs

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 *

Day Month Year
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

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

The cost of a swab is $276 including GST. 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.
Do you have a specific date that you need your result?

Yes No
Date the result is required

Month Day Year
Should be Empty: