Kitas

Collection of data for secondary samples or individual test if the lolli-pool is positive

Please enter the personal data of the tested person as well as the order number and security code shown on the sample. Each order number can only be used once.

Please carefully check the format and correctness of the mobile phone number, as the test results will only be sent via text message.

Check your data entry on the following page and confirm the data by submitting the form again!

✓1input data
✓2check data
✓3send data

Child's personal data

Gender*:

First name*:

Last name*:

Date of birth*:

Address*:

Zip code/Postal code*:

City*:

Mobile number*:

Email:

Organization (city)*:

Organization*:

Order data

Order number*:

Security code*:

Data protection

The sending of test results / report by SMS is an additional service provided by the laboratory free of charge, which is offered without obligation and can be discontinued at any time without prior notice. The system is currently in a trial phase. The laboratory cannot accept liability for the service in general or at a specific time or for the correct transmission of data (mobile phone number). Only the written report is binding. The data protection notices for this service and the associated rights are displayed in the data protection regulations.

I agree to the privacy policy, which can be viewed here.

I/We confirm that the above facility is attended by my/our child.

I/We agree that the test result will be sent to the management of the above facility. I/We are aware that this is an official requirement of the city and that my/our child can only take part in the test if the above consent has been given. I/We are aware that, as an alternative to this test, a nasopharynx swab can also be performed by any registered physician.

Please check your data on the following page and confirm the data by sending it again! Only then will your data be transmitted.