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Covid 19 Information

Please visit www.ghc.nhs.uk/coronavirus/

C19 Incident Testing: Wards and Teams

Name of referrer(Required)
Who do you work for?(Required)

Details of those that require testing

Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?
Name
Date of birth
Where would they like to be tested?

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