Capture Persons Form Summary

1 Who is getting tested?

2 Sample Collection

3 Purchase

Total

You can buy multiple tests by adding a person

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Person to be tested

Please fill in the fields for the person that is going to get tested.

All fields are mandatory

Name (Surname, Firstname, Middlename) *

Gender *

Date of Birth *

is EHA Clinics Member

We will verify the membership status by validating the personal details provided in this form.

Apply Promo Code

Apply promo code for discounted price

Email*

Phone Number(eg. +2348033333333)*

Please provide the adress of where you are currently staying in Nigeria

Street *

City *

State *

LGA *

Name of Airline *

Date of flight *

Destination Country *

Passport Number *

Passport Issuing Country *

Cancel

EHA Clinics

MEMBERSHIP

EHA Clinics Kano

Opening Hours

Dental Clinic

Eye Clinic

EHA Clinics Abuja

Opening Hours

Dental Clinic

Eye Clinic

EHA Clinics Lab Sample Collection Center, Kano

Opening Hours

EHA Clinics Lab Sample Collection Center, Abuja

Opening Hours

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You Really Want to Cancel your Purchase?

Person to be tested

Sorry your membership status couldn't be verified.

Please provide the adress of where you are currently staying in Nigeria

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EHA Clinics

MEMBERSHIP

EHA Clinics Kano

Opening Hours

Dental Clinic

Eye Clinic

EHA Clinics Abuja

Opening Hours

Dental Clinic

Eye Clinic

EHA Clinics Lab Sample Collection Center, Kano

Opening Hours

EHA Clinics Lab Sample Collection Center, Abuja

Opening Hours