Thank you. We have received your order for Home COVID-19 Test.

Please make your appointments now.

    Full Name :

    Email Address :

    Gender

    MaleFemale

    IC/Passport No.:

    Nationality :

    Home Address :

    Date of Birth:
    Marital Status:

    Appointment Date:

    Contact No.:

    Type of Packages :

    Appointment slots are only confirmed after acknowledgement email from LifeCare.

    1. Proceed to Wisma Life Care, Bangsar South.
    2. Follow the signage as you enter Wisma Life Care area.
    3. Present your payment invoice once you reach Drive-thru Point. Please stop and wait in the car. Please switch off your air-conditioner.
    4. After the test is done, you may go home.
    5. Life Care will contact you once the result is available.

      Full Name :

      Age :

      IC/Passport No.:

      Date of Birth:

      Contact No.:

      Email:

      Gender:

      Home Address:

      Car Plate Number:

      Do you have any of the following symptoms below?

      FEVER (>37.5'C)?

      COUGH?

      SORE THROAT?

      Difficulty in breathing?

      Body weakness?

      Diarrhea?

      Do you have close contact with a confirmed COVID-19 patient?

      Appointment Date:

      Appointment Time (Malaysian Time):