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Open Monday-Saturday

Covid-19 Swab Appointment

Complete the online form below for the person taking the vaccination.
Please ensure all information provided is correct before clicking on the SUBMIT button.
Transfer payment online and upload your Proof of Payment. Cashless transaction is also available.
Once your appointment is confirmed by our staff, then you may proceed to the Clinic OPD at your Appointment Date & Time.

Date

Test Type

Full Name (as in IC / Passport)

ID Type

ID / Passport No.

Gender Male Female

Race

Category

Current Residing Address

Mobile No.

Next of Kin / Company Contact No.

Confirm Email

Date of Birth

Nationality

Mode of Payment

Appointment Date

Appointment Time

Are you exhibiting any of these symptoms?

Fever

Cough

Flu or sore throat

Body ache

Easily feeling tired

Shortness of breath

Loss of taste and/or smell

Abdominal pain

Diarrhea or vomitting

Close Contact - With someone who have travelled in the past 2 weeks

Close Contact - With someone who had COVID-19 or PUI in the past 2 weeks

Close Contact - With someone who is under "Quarantine Order" or self isolation in the past 2 weeks

None of all above

Have you traveled to / resided in a foreign country within the last 14 days? Yes No

If you traveled to / resided in a foreign country within the last 14 days, please state the exact date you entered Malaysia

I acknowledge that legal action could be taken in accordance to Law of Malaysia Act 342 Prevention and Control of Infectious Disease Act 1988, if I have intentionally given false information or withheld any information that will potentially harm the safety of public, health care workers and the health facilities. I agree and pledge to inform the person in charge if I develop significant symptoms or have significant contact with person(s) with Covid-19 positive or contact with the relevant clusters.

I acknowledge that the Mobile Phone Number and Email address given above are correct. Saya mengaku bahawa nombor hp dan alamat e-mel di atas adalah betul serta tiada kesilapan ejaan.

Payment Method

You can pay by using online transfer or Sarawak Pay

If you are paying on behalf of the registered name above, please type your name here. (Nama pembayar)

Please enter the name of the person you are paying for here. (Jika bayaran dibuat bagi pihak lain, sila masukkan nama di sini)

Upload Proof of Payment

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Thank you for your appointment.
We will contact you soon.

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Normah Medical Specialist Centre (119669-X)
Lot 937, Section 30 KTLD,
Jalan Datuk Patinggi Haji Abdul Rahman Yakub,
Petra Jaya, 93050 Kuching,
Sarawak.

+6082-440 055

+6082-311999

inquiry@normah.com