Apply For A COVID-19 Test Verification CertificatePlease fill in the questionnaire below and one of our doctors will review the information submitted. Once approved, your medical certificate will be sent to your email address. If you need any support, please reach out to us at info@merlinhealth.co.uk - you can expect a response within 2 hours.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your DetailsFull Name *FirstLastMobile Number *Email *Your medical letter will be sent to this email addressDate of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sex *Please selectMaleFemaleOtherAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodePlease upload an IMAGE of a form of photographic ID to verify your identity (e.g. passport, driving license etc)Upload your ID document here: * Click or drag files to this area to upload. You can upload up to 100 files. Please upload an IMAGE of your COVID-19 Test Kit Box:Please upload an image of the test kit box you intend to use so we can see the type of test you are taking and the manufacturer. Please upload an IMAGE of the COVID-19 Test Kit Box here: * Click or drag files to this area to upload. You can upload up to 100 files. Please upload a VIDEO of you taking the COVID-19 test:You may find it helpful to have another person take the video while you take the test. Please upload a VIDEO of you taking the COVID-19 Test here: * Click or drag files to this area to upload. You can upload up to 100 files. Please upload an IMAGE of your COVID-19 Test Cassette, 15 minutes after you have taken the test: Please ensure you take the image a full 15 minutes after you have taken the test Please upload an IMAGE of your COVID-19 Test Cassette here: * Click or drag files to this area to upload. You can upload up to 100 files. Terms and ConditionsUpon submitting your application, you acknowledge our Terms and Privacy Policy and consent to the following: (1) You have comprehended the questions in the questionnaire and answered them honestly. (2) The requested certificate is solely for the individual with the provided name and details. (3) Our certificates are intended to confirm your COVID-19 status. They are not a guarantee against adverse events. They are not an insurance policy. They are not valid as medical indemnity. They do not represent a medical consultation. (4) At Merlin Health, we do not offer a medical consultation service. No liability is accepted for any adverse events affecting you at any point in time. (5) If a third party does not accept or rejects a Merlin Health letter or certificate, for any reason, neither Merlin Health nor our Doctors are responsible for any costs incurred. (6) You have uploaded the relevant evidence and have not purposefully withheld any information. (7) Merlin Health is unable to process refunds once our doctor has reviewed your request and you've been sent a letter written by them. (8) Merlin Health is not a replacement for a doctor's visit, nor is Merlin Health your primary doctor or GP, and healthcare professionals at Merlin Health may be unable to access your NHS or regular GP medical records. (9) You agree to update your registered GP with the results of your test. (10) You agree to seek medical attention with your registered GP should you develop any symptoms of COVID-19. Agreement to Terms and Conditions *I have read and agree to the Terms and Conditions listed aboveCheckoutCOVID-19 Test Verification CertificatePrice: £8.00Submit