Request an Appointment for a COVID-19 Test

Enter your name as it appears on your PEI Health Card.

First Name

Middle Initial

Last Name

Address 1

Address 2

City, Town, or Community

Province

Postal Code

For example C1B 0X1 or 12345

Country

Telephone Number

For example 902-555-5555

Email Address

Preferred Method of Contact - Select -EmailTelephone

Preferred Email Address

Preferred Telephone Number

Date of Birth

Select or type dates as MM-DD-YYYY. For example 02-13-1971

Personal Health Number (PHN)

Please enter the 8-digits from your PEI health card.

Preferred Clinic Location - Select -Charlottetown - Park StreetSlemon Park

Preferred Clinic Date

Review the hours of operation for each clinic prior to requesting an appointment

Preferred Clinic Time Period - Select -8:00-12:001:00-3:30