• COVID-19 Test Request Form

    COVID-19 Test Request Form

    Please fill out this form to request and schedule COVID-19 RT-PCR or Rapid Antigen Testing. Note: Testing is performed only within ALBANY.
  • Are you booking for a large (over 20 persons) corporate group/yacht/etc.? (If booking as an individual or family, please select "No")*

  • Booking for Corporate Groups/Yachts/Large groups over 20 persons can be made via email to albanyconcierge@doctorshosp.com 

  • Desired Location*

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    Booking for testing at Albany Elite Care Clinic can be made at https://covidtesting.doctorshosp.com/

  • Please select the COVID-19 Test you wish to book an appointment for:
  • Have you tested positive for Covid-19 in the past 7 days?
  • Do you wish to have High-Priority RT-PCR testing*
  • Are you testing as an individual or for a your travel visa requirement?*
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  • I. Demographic Information

    I. Demographic Information

    Please complete the required demographic information as per The Bahamas Ministry of Health Guidelines.
  • Gender*
  • Date of Birth*
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    2 digit day, 2 digit month, 4 digit year
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  • Format: (000) 000-0000.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

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  • II. Health & Symptom Information

    II. Health & Symptom Information

    Please complete the required health and surveillance information as per The Bahamas Ministry of Health Guidelines.
  • Do you have any of the following symptoms related to COVID-19? Please select all that apply?*
  • Do you have any of the below Pre-Existing Conditions?*
  • Have you tested RT-PCR positive for COVID-19 in the last 14 days?*
  • Have you had contact with a person who confirmed testing positive for COVID-19, or is suspected to have COVID-19, in the last 14 days?*
  • Do you have any of the following symptoms? - Fever, Cough, Shortness of Breath, Headache, Loss of taste or smell, Chills, Muscle Pain, Sore Throat*
  • Have you traveled (including within the Bahamas) in the past 14 days?*
  • Please indicate your symptoms below: *
    Rows

  • Note: You have indicated that you are experiencing symptoms. For persons experiencing symptoms, we require that you quarantine and a Technician will come to your residence to collect your specimen.

  • Note: Persons booking Albany Elite Care Clinic can visit anytime during opening hours. Our opening hours are 9AM-3PM 7 Days A Week.

  • Select An Appointment Date for Albany Elite Care Clinic*
     / /
    2 digit month, 2 digit day, 4 digit year

  • Note: All outcall visits are an additional $50 charge to be paid electronically* prior to visit at residence. This is in addition to chares for the test. Outcalls conducted by our EMT staff and service times may be modified in the case of an emergency. Outcalls are avaliable between 9AM and 6PM Monday to Saturday.

     

    *An electronic link to pay this fee will be emailed to you following submission of your booking request.

  • Select An Appointment for specimen collection at your Residence*

  • DISCLAIMER

    The RD-Ag (Rapid Antigen) test performed is used for screening purposes only and is not validated for the definitive diagnosis for SARS-COV-2 (COVID-19) in a comparable fashion as a real-time polymerase chain reaction (RT-PCR)-test. The screening reports you will be provided are not RT-PCR COVID19 test results.

    RD-Ag tests are most likely to perform well in patients with high viral loads (Ct values ≤25 or >106 genomic virus copies/mL) which usually appear in the pre-symptomatic (1-3 days before symptom onset) and early symptomatic phases of the illness (within the first 5-7 days). A negative result does not preclude SARS-CoV-2 infection and should not be used as the sole basis for patient management and workplace planning decisions. When diagnostic testing is negative, the possibility of a false negative result should be considered in the context of a patient's recent exposures and the presence of clinical signs and symptoms consistent with COVID-19.

    The Clinical recommendation for positive results in RD-Ag testing is to follow-up with RT-PCR testing for confirmatory diagnosis. If your Rapid Ag Test results as Positive for COVID-19, The Government of The Bahamas requires such confirmatory testing.

     

    CONSENT

    By registering for testing, you consent to being tested by Doctors Hospital (Bahamas) Limited, its employees and or agents, and to your test result(s) (and any and all information submitted herein) being retained by and shared by and among Doctors Hospital (Bahamas) Limited, Albany and The Government of The Bahamas. 

     

    LIABILITY WAIVER, RELEASE & INDEMNITY

    In consideration of being permitted to complete this registration process, and of being tested, you, for yourself, your heirs, personal representatives or assigns, do hereby release, waive, discharge and covenant not to sue Doctors Hospital (Bahamas) Limited, its employees and or agents and to hold them harmless and indemnify them from liability and from any and all claims, including those involving personal injury, accidents, or illness (including death) arising from your participation in this registration process and the testing which follows. 

     

    GOVERNING LAW

    All terms and conditions herein, shall be construed in accordance with and governed by the laws of the Commonwealth of The Bahamas.  Any dispute in relation thereto, or to this registration process, or the testing which follows, shall be subject to the exclusive jurisdiction of the Courts of the said Commonwealth.

  • DISCLAIMER

    • I agree to my test results being sent to the email address I have provided above
    • I acknowledge that I completed this form myself, and that the information I have provided in this form is accurate and complete, including all contact and address information.
    • I understand that should my results come back positive, Doctors Hospital is obligated to alert The Bahamas Ministry of Health officials.
    • I understand that following the submission of this form, I will be sent via email a link to pay my charges online. I understand that online payment is mandatory prior to my visit (payment will not be collected on site, and cash payments will not be accepted).
    • I understand that specimens can take 24-36 hrs to process, and that results can be delayed for reasons including (but not limited to) the need for a specimen to be re-processed, incomplete or accurate information provided by the patient, public health notification requirements, etc. Should delays occur, Doctors Hospital is not responsible for any travel-related delays or cancellations as a result.
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    2 digit day, 2 digit month, 4 digit year
  • Time
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