Singtel RED Speedoc COVID-19 Testing

PRIMARY CONTACT

Full Name (as in NRIC)*

NRIC/FIN/Passport No.*

Nationality / Citizenship*

Gender*

Date of Birth*

Mobile Number*

Email*

Appointment confirmation will be sent to this email

Home Address*

Street Address

Floor, Unit #, Building Name etc.

Postal CodeCountry

TEST DETAILS

Please select COVID-19 Test Type

Please select your COVID-19 Test*

Home COVID-19 PCR Swab Test (Regular)For Pre-Departure Testing. Most accurate test. Results within 24 to 48 hours.

$158.00SGD Quantity

Home COVID-19 PCR Swab Test (Express)For Pre-Departure Testing. Most accurate test. Results within 8 to 12 hours.

$258.00SGD Quantity

Home COVID-19 Antigen Rapid Test (ART)Screening for Pre-Event Testing (PET).Quick screening tool to pick up any possible infection early.Results within 15-30 minutes.

$60.00SGD Quantity

*WEB EXCLUSIVE* Home COVID-19 Saliva-based PCR TestSaliva PCR. Suitable for children or people who prefer not to do a nasopharyngeal PCR. Unsuitable for Pre-Departure Testing. Results within 24-48 hours.

$168.00SGD Quantity

Supervised Tele-ARTGet your supervised self-swab COVID-19 Antigen Rapid Test (ART) done over a video consultation with Speedoc.

$12.00SGD Quantity

Subtotal

$0.00SGD

Tax

$0.00SGD

Total

$0.00SGD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Kindly provide your reason for booking a PCR Test:*

These services are not suitable if you are currently experiencing any respiratory symptoms. You can call us or download the Speedoc app to book an assessment for further evaluation in this scenario.

Other reason(s) for booking a PCR Test:*

This will help us advise you if the PCR test is the appropriate option for you.

Kindly provide your reason for booking an ART:*

These services are not suitable if you are currently experiencing any respiratory symptoms. You can call us or download the Speedoc app to book an assessment for further evaluation in this scenario.

Other reason(s) for booking an Antigen Rapid Test (ART):*

This will help us advise you if the ART is the appropriate option for you.

Brand of ART Kit:

Kindly prepare at least 2 un-opened, HSA-approved ART Kits

Batch / Lot Number for ART Kit:

Passport / Travel Document Number:*

This field is required if you would like to use the results from the selected test(s) as Pre-Departure documentation

APPOINTMENT DETAILS

Test Date and Time*

Time*

Hour Minutes

Time of Swab*

Location of Swab + Time*

ADDITIONAL PERSON(S) PARTICULARS

Total Number of Person(s) / Traveller(s)*

SECOND PERSON / TRAVELLER

Full Name (as in NRIC) - [Second Person]*

NRIC/FIN/ID No. - [Second Person]*

Passport / Travel Document No: - [Second Person]*

Date of Birth - [Second Person]*

Nationality / Citizenship - [Second Person]*

THIRD PERSON / TRAVELLER

Full Name (as in NRIC) - [Third Person]*

NRIC/FIN/ID No. - [Third Person]*

Passport / Travel Document No: - [Third Person]*

Date of Birth - [Third Person]*

Nationality / Citizenship - [Third Person]*

FOURTH PERSON / TRAVELLER

Full Name (as in NRIC) - [Fourth Person]*

NRIC/FIN/ID No. - [Fourth Person]*

Passport / Travel Document No: - [Fourth Person]*

Date of Birth - [Fourth Person]

Nationality / Citizenship - [Fourth Person]*

FIFTH PERSON / TRAVELLER

Full Name (as in NRIC) - [Fifth Person]*

NRIC/FIN/ID No. - [Fifth Person]*

Passport / Travel Document No: - [Fifth Person]*

Date of Birth - [Fifth Person]*

Nationality / Citizenship - [Fifth Person]*

SURCHARGES

An additional late night charge of $30 is applicable for swabs performed between 8pm to 8am daily.
An additional Public Holiday Surcharge of $50 is applicable for swabs performed on Public Holidays in Singapore.
An additional Island Surcharge (Changi Airport, Jurong Island, Sentosa, Tuas, Restricted/Prohibited Areas) is applicable for swabs performed at these specified locations.

Please note: All surcharges specified above are not included when making payment at the end of this order form. These charges will be due after your appointment slot has been confirmed by the Speedoc Team.

Remarks / Special Instructions (optional)

TERMS AND CONDITIONS

1. Speedoc will do our best to honour your selected appointment date & timing, but due to high demand, we may contact you to offer a different appointment time.

2. Patients are responsible for checking the testing window requirements of their specific event and if Speedoc can meet the required timeline.

3. I authorise Speedoc to submit my particulars to the authorities for travel documentation purposes.

4. I acknowledge that my particulars submitted are accurate.

5. By proceeding, I agree that Speedoc shall not be held responsible for any delay due to inaccuracies in my submission.

I agree to the above Terms and Conditions

Clinic Address
991C Alexandra Road
#01-13B
Singapore 119971

Singtel RED x Speedoc