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MOBILE COVID TESTING KAMLOOPS

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Predeparture Form
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Medical Questionnaire

Kamloops Covid Testing:

Required Information for

Predeparture Documentation

First & Middle Name (as per Passport)

Email Address

Last Name

Date of Birth

Select an Address

Cell Phone #

Destination Country

Departure Date

Thank you for Submitting.

A Confirmation of your Appointment Time will be emailed/texted to you within 24 hours.

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