Covid-19 - Costamedicus

Do you need a Covid-19 test? Request an appointment for a Covid-19 testPCR test, rapid antigen test or antibody determination.

Your test appointment with Costamedicus:

Select Covid-19 Test

PCR-TestAntigen rapid testAntibodies in the blood

Your Name

Title

First name *

Last name *

Your ID data

Identity cardPassportI don't want to give an ID number

ID number

Date of birth *

Your contact information

E-mail-address *

Mobile nummer *

Your billing address

Street/House number *

Postcode/City *

Country

Optional information

Your holiday address in Spain

Street/House number

Postcode/City

Additional information

Medication (that you take regularly)

Are there any known allergies? If yes, which ones?

Your height (in cm)

Your weight (in kg)

Other

Only for minor patients

Please enter the name and identification details as well as the birthday of the legal guardian:

Name

Title

First name

Last name

ID data

Identity cardPassportI don't want to give an ID number

ID number

Date of birth

Data privacy

The data you enter is sent directly to Costamedicus via an encrypted connection (SSL/TLS) and is not stored on our server. You can find more information on data protection here.