Symptomatic COVID-19 Testing Form

Due to the increased volume of phone and email queries about Coronavirus testing we are now asking symptomatic patients to fill out the following questionnaire to help us process referrals.

Next Steps

  • On receipt of the form, one of the practice doctors or nurses will contact you to confirm receipt and clarify any issues via phone consultation if needed.

  • If you meet the current criteria for Covid-19 testing as outlined by Health Protection Surveillance Centre Guidelines, we will submit an e-referral to request Covid-19 testing to the National Ambulance Service (NAS).

  • We will send you a text message to confirm that the referral has been sent.

  • NAS will contact you directly to arrange this and give further information. This may take a number of days depending on demand and we have no way of speeding this up, please be patient.

  • If your symptoms worsen whilst you are awaiting testing, please contact us so we can further evaluate your status.

  • While you are awaiting for us to contact you, please, please, please self-isolate at home to help slow the spread of the virus.

  • Please do not come in to the practice as you risk passing on infection to other patients and our staff.

  • Further information:

    • Useful information on self-isolation can be found on the HSE’s information page here.

    • Useful information on the virus can be found on the HSE Covid-19 page here.

    • For travel advice, please visit the Department of Foreign Affairs Travel Advisory page here.