Rapid Care - Home Collection Booking

1. Patient Details

Full Name

Age

Gender

Contact Number

WhatsApp Number

Email ID (Optional)

2. Collection Address

Full Address

City

Pincode

Preferred Collection Date

Preferred Time Slot

3. Select Tests

Filter by Health Concern

Top Tests

🩸 CBC

🦋 Thyroid

🍬 Diabetes

❤️ Lipid

Search for tests (e.g., "Vitamin D", "LFT")

Can't find your test? Enter it here:

Selected Tests

No tests added yet.

4. Collection Preference

Preferred Collection Type

Home Visit Office Visit Other (Specify in instructions)

Special Instructions

5. Consent & Declaration

✅ I hereby authorize RapidCare Diagnostics and its partnered NABL accredited laboratories to collect my sample and share the report digitally via WhatsApp/email.

I Agree