BUILD#1216

Pre-Registration



(Note: Please use previous transaction reference no. to Search)

Testing Category/Subgroup











Personal Info






Current Address

MUNA Account Detected

Permanent Address






Employment



Current Workplace Address

Travel History




Contact Tracing


List the names of persons who were with you two days prior to onset of illness until this date and their contact numbers. *If asymptomatic,list the names of persons who were with you on the day you submitted specimen for testing until this date and their contact numbers.

Name Contact Number

Consultation and Admission Information



Special Population










Exposure History



To

To

To


To



To

To

To

Clinical Info


Signs & Symptoms


Comorbidities


If existing case:


Chest imaging findings suggestive of COVID-19:


Outcome/Condition at Time of Report

Vaccine Information

Payment


PHP

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Pre-Register

Testing Category/Subgroup

Personal Information

Employment

Travel History

Contact Tracing

Consultation and Admission Information

Special Population

Exposure History

Clinical Info

Payment Method

Refund & Cancellation Policy

REFUND AND CANCELLATION POLICY

Cancellation Policy

Clients are free to cancel the booking or lab visit before the start/preparation of lab tests. A full refund shall be admissible in cases where payment has been made to PADL directly. Client has to provide the Original Copy of the Proof of Payment (Official Receipt) and the original and photocopy of valid identification card (ID). However, the nature of the products does not allow returns once the specimen is taken. Therefore, PADL will not accept any cancellation after specimen collection and completion of your lab visit.

For Hotel/ Home Test Service, clients are free to cancel the tests 24 hours prior to the start of the visit, a full refund shall be provided. However, in case where the client chooses to cancel the test after the arrival of the PADL staff at the site, then Php 800 shall be deducted as visit charges.

For Cancellations, please contact us by calling customer service hotlines: 0927-585-2374/ 0999-629-3004/ 0961-759-4318/ 0905-468-2254/ 0968-381-4399/ or send us an email at csr@padlab.ph

Refund Policy

Clients’ refund will be processed within 30 days. If the client chooses a credit voucher instead of a refund, processing time will be within 7 days.

Credit vouchers can be used within the current year from the date of issuance. If not used within the current year, credit voucher is considered void, may not be redeemed for services, and are no longer applicable for refunds or credits of any kind.

If payment is made thru Online GCash/ Credit Card/ Debit Card, reversal of verified payment can be made within the day, cut off is at 7:00 PM. Refunding of payment after cutoff will be posted 30 business days, depending on the merchant bank.

For refunds/ reversal, please contact us by calling customer service hotlines: 0927-585- 2374/ 0999-629-3004/ 0961-759-4318/ 0905-468-2254/ 0968-381-4399/ or send us an email at customerspaymentsupport@padlab.ph

Data Privacy & Recaptcha

PATIENT'S CONSENT FORM

I expressly give my consent to and its subsidiaries to collect, process, store, retain, update, retrieve my personal information and sensitive personal information indicated in Physician Request Form for COVID 19 Test.
• Contact Information, such as name, address, contact number, email address, age, sex, and other contact details.
• Personal information such as date and place of birth, nationality, citizenship, civil status, occupation, passport, government-issued IDs.
• Travel History such as country of exit, airline, flight/vessel, date departure/arrival
• Clinical information such as history of other illness, current medication or treatment
• Employment information examples: contracted agency, corporation, household.
• I consent and authorize to conduct a COVID-19 Diagnostic Test involving the collection sample through a nose and throat swab.
• By authorizing to conduct a COVID-19 Diagnostic Test, I am extending my consent to share my Laboratory Result and / or Certification Copy with my GP and to the following company, agency, and or Individual.
• I understand that the test result may be used and shared with third parties for statistical and auditing purposes, and I understand that this is not considered personal data as I will not be identified in any report.
• I understand that there are risks associated with undergoing any COVID-19 Test to include minor swabbing trauma such as nasal bleeding/ irritation. I accept that as with any COVID-19 Test, there is a potential for false negative COVID-19 Test Result.
• I understand that a Positive/ Detected and/or Negative/ Not Detected Test is not an indication that I am immune t o COVID-19, and therefore, I will follow strict protocol and behave as if I might contract or transmit the infection.
• I will assume complete and full responsibility to take appropriate action with regard to my test result. I will seek medical advice, care and treatment from my medical provider if I have questions or concerns, or if my condition worsens.
• I understand that or any third party does not accept potential liability arising from this COVID-19 Test, to the extent that is permitted by law, to include but not limited to any potential liability arising from any minor swabbing trauma such as nasal bleeding/ irritation and/ or false positive or false negative test results. I understand that neither nor any third party accepts liability for any missed flights/ ferries/ travel accommodation due to late or inaccurate test results.
• I agree to share my personal information provided in the necessary paperwork to the , the vaccine distributor, and the Pasay City Health Office, for the purposes of data processing relating to COVID-19.

*Note: Please close/exit Consent Form Page, if you refuse/object to collect, process, store, retain, update, retrieve your personal information and sensitive personal information. Thank you.