Request for Covid-19 Test


Please complete and submit the form below and please note the following:

• If you will pay for your test, you will be directed to JCC for payment.

• If your employer will pay for your test, you will be asked to submit the code your employer gave you. (If you are an employer, and you want to arrange tests for your employees, please call us at 22476777).

Personal Information
Last Name: *
First Name: *
Date of Birth: *
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ID/Passport Number: *
Gender: *
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Address: *
Town/City and Postal Code: *
Mobile Number: * (+357)
We will use your mobile number to:
(1) send you SMS messages to inform you of the status of your request,
(2) send you an SMS message to inform you if your test result is negative,
(3) call you if your test result is positive.

Email Address (optional):
If you provide your email address, we will send you your test result by email as well.

Contact Person in Case of Emergency
Last Name: *
First Name: *
Relation: *
Mobile Number: *
Payment Method
Payment: *
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The American Medical Center follows the General Data Protection Regulation (GDPR), therefore the personal data we collect about you is solely processed for performing the requested COVID 19 test. We will not share your personal data with any third party unless the outcome of the test is positive or in case the test is performed by AMC on behalf of the Ministry of Health, in which cases your results will be shared with the Ministry as required by law. All personal data, including your test results, will be erased from our systems as per our legal obligations. In case you need more information regarding the protection of your personal data including the exercise of your subject rights please view our privacy policy at https://amc.com.cy/ or by emailing our Data Protection Officer at dpo@amc.com.cy. For further information on the GDPR or if you wish to lodge a complaint to the Office of the Commissioner for the Protection of Personal Data please visit https://www.dataprotection.gov.cy.

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