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Log a new COVID-19 screening test

Subject Details

Privacy & Data Handling

Information is collected for the purpose of testing for COVID-19, and reporting positive tests to the Ministry of Health for further treatment. Information will be seen by the subject (person providing the test), the subject's employer, the tester (person conducting the test), the tester's employer, Sober Check Ltd (provider of the form), and the Ministry of Health (in the event of a positive test). Some information on this form is optional, the rest is required. If required information isn't provided, the test results will not be saved. All information collected will be handled in accordance with the Privacy Act 2020.

Test Details

Test Result

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Location of Test

Demographic Data

Gender (optional)

Tester Details