Covid staff testing request

Please select the option that best describes you. *

First name(s) *

Last name *

Date of birth *//

Job role *

Work location *

Please share details of where you are based during working e.g. Ward L4

Home address

Property name / number *

Please enter details for your place of residence.

Street name *

Town / City *

Postcode *

Phone number *

Email *

Your appointment details will be emailed to the address you provide - please provide one you can access from home.

For CUH staff ONLY

If the person needing testing is a child, please provide the following to act as a proxy for them.

Name of parent/guardian/carer

Phone number

Relationship to symptomatic person

e.g. parent

Symptoms

Please select at least one of the symptoms you are experiencing. *

High temperature - this means a feeling of feverishness, or a measured temperature >37.8oC
New cough - this means a new intermittent or persistent cough, or worsening of your usual cough (if you have one)
A loss or change in your sense of taste or smell.

Please provide the date for when you first experienced symptoms. *//

Please self-isolate until you have your test result

Where to get tested

Symptomatic testing is available either at the S2 Pods at CUH (link to map), or the Pod outside the Dyson Building, Department of Engineering, Fen Causeway (link to map)

Please select a preferred location *

S2 Pod CUH
Dyson Building Pod, Fen Causeway

Results

All results are automatically available via MyChart, so we strongly advise registering now. This is the fastest way to receive results. If you do not consent to receiving your results via MyChart, they will be communicated to the email address you provide above, however this method is likely to be substantially slower.

For more details, please see our MyChart website pages.

Receiving your results through MyChart *

Yes, I opt in to receiving my results via MyChart on Epic.

You will be assigned the next available appointment, details of which will be emailed to the address you provide within 24 hours, generally considerably quicker. Please look out for this email.