Collection Booking Form
Pre Arranged only - Minimum 2 working days notice
Request Time: | |
Request Date: | |
Requestor Name: | |
Requestor Email: | |
| PIN Number: Bookings can not be accepted without a valid PIN number | |
Company Name & Full Collection Address: (Inc. Post Code) | The full collection address is: |
| Number of people to be tested: | |
| Type of Test Required | eg instant urine or saliva |
Breath Alcohol Required? | |
| Network Rail Required? | YES / NO |
| London Underground Required? | YES / NO |
| Reason for Test: | |
| Collection Date: | |
| Onsite Contact Name: | |
| Email Confirmation Address: | |
Notes / Special Instructions: | eg is parking available? |
Please note that for all for cause / short notice requirements, bookings must be made by calling the SYNLAB Booking Line on 01873 856771.
SYNLAB require 2 working days’ notice for all pre-arranged collections. For all other enquiries please contact Customer Services on 01873 856688.
If you do not know your PIN please contact [email protected] before completing this form
Please send the completed Collection Booking Form to [email protected].
Q-Pulse No | 108.00479 | Document Location (if printed): QPulse
|
Version | 5 | |
Site | Abergavenny |