Activate Lateral Flow Fit to Fly (Covid-19)

Scan the QR code on the Lateral Flow Device

(If no code appears in the field below after scanning the QR code, please type in: "D2-(booking reference)" e.g. D2-ABCDE1234567)

Open scanner

Alternatively, you can input the code manually below

Select Member

Personal details

Title

Full Name

Date of birth

SexMaleFemaleOther

Ethnicity

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

Upload Test Result Photo

Please upload a photo of your test result using the upload button below. Make sure the photo is well-lit and clearly shows the red lines.

Upload image of test result

Max file size 10MB.

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fileuploaded.jpg

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Select the result of your testNegativePositiveI'm not sure

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 Lateral Flow Fit to Fly Test