Application Form | COVID-19 Test Result Verification Certificate

Your Details

Full Name
Your medical letter will be sent to this email address
Date of Birth
Address

Section 1: Please upload an IMAGE of your COVID-19 test kit box

Please upload an image of the test kit box you plan to use here:

Click or drag files to this area to upload. You can upload up to 100 files.

Section 2: Please upload a VIDEO of you taking the COVID test

It may be helpful to have someone else record the video while you take the test.

Click or drag files to this area to upload. You can upload up to 100 files.

Section 3: Please upload an IMAGE of your COVID-19 test cassette, taken 15-20 minutes after completing the test.

Click or drag files to this area to upload. You can upload up to 100 files.

Section 4: Identity Verification

Click or drag files to this area to upload. You can upload up to 100 files.

Terms and Conditions

Upon submitting your application, you agree to our Terms and Privacy Policy and consent to the following:

  1. You have carefully understood all the questions in the form and have provided truthful and accurate answers.
  2. The certificate requested is solely for the individual named in the application and is based on the provided details.
  3. You have uploaded all relevant evidence and have not intentionally withheld any information.
  4. Wilmer Health is not a substitute for a doctor's visit. Our healthcare professionals may not have access to your regular medical records.
  5. You understand that Wilmer Health certificates verify your COVID-19 test result but do not act as a guarantee against any negative outcomes. They are not an insurance policy, medical consultation, or medical indemnity.
  6. If a third party rejects or does not accept your Wilmer Health certificate, neither the company nor our doctors will be held responsible for any resulting costs.
  7. Once our doctor has reviewed your request and issued a certificate, Wilmer Health cannot offer refunds.
  8. You agree to update your GP or regular physician with the results of your test.
  9. You agree to seek medical attention from your registered GP or regular physician for this issue.
  10. Wilmer Health accepts no liability for any adverse events affecting you at any time.
Agreement to Terms and Conditions

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Price: £8.00