Screening Test Activation

If you're unsure about how you should complete this form, please contact your testing provider. The testing provider is the company you purchased your test kit from.

Scan the barcode on vial

You can find your Barcode Number on the tube inside the Test Kit box.

Open scanner

Alternatively, you can input the code manually below

Activation Code
Healthcare provider code
You can find this code on the instructions inside the Test Kit.

Sample Collection Date

Confirm Test type

Select Member

Personal Details

TitleFull Name

SexMaleFemaleOther

Ethnicity

Date of birth

NHS Number (optional)
phone NumberEmail Address
Please make sure you type in the correct email address. Incorrect email addresses may cause delays in receiving a test result.

Vaccination statusFully VaccinatedPartially VaccinatedNot Vaccinated

Type of Vaccine

First dose date
Leave blank if not received

Second dose date
Leave blank if not received

Do you have COVID-19 symptoms?YesNo

Tick this box if you consent to us sharing your anonymised sample with other labs for Covid-19 research (only age and sex will be retained).

I declare to have read and agree to PeploBio’s Terms & Conditions and Privacy Policy I hereby consent to the processing of my health data for the purposes related to the analysis of my sample and for my details to be shared with NHS Test and Trace, if needed.

I agree to the Terms and ConditionsI agree to receiving wellness advice, promotions, information about new products and marketing materials.

Activate COVID-19 PCR Screening Test