COVID-19 PCR Test Request for Individuals

Request Form

Fields with an asterisk (*) are required.

    Your Personal Information

    Screening Questions

    Are you an essential worker? *
    YesNo

    Are you currently in quarantine? *
    YesNo

    Is the COVID-19 test a work requirement? *
    YesNo


    Travel to another Province or Country for work purposesTravel to Nova Scotia from another Province or Country for work purposesRequired for an educational or work training placementRequired to travel for compassionate reasons (i.e. visit a family member in a long-term care facility, caring for a loved one, repatriation of children or for attending a funeral)Currently in quarantine and require test to join a ship or fly out of countryOther

    Information for our Team