信凯尔-美国专家智能预约平台

双阴检测/COVID Testing Intake

是否订好机票了？/Have you booked your flight?

A.否/No B.是/Yes

航班起飞日期/Departure Date

赴华航班号吗；如东航588/Flight number: For example MU588 (CES588)

中转国/Layover Country

A.直飞中国，无中转国/Direct flight, no layover B.韩国/Korea C.香港/Hong Kong D.其他中转国/Other layover country

其他中转国/Layover country - Other

核酸检测日期 - 行前 48 小时/RT-PCR Date - Within 48 hours before departing
赴华乘客需在登机前 48 小时进行核酸检测，结果阴性者方可来华，结果阳性者请在转阴后来华。/

请选择出发城市/检测机构/Departure city/Testing site

A.旧金山/San Francisco B.西雅图/Seattle E.洛杉矶/Los Angeles F.底特律/Detroit G.芝加哥/Chicago H.纽约/New York I.达拉斯/Dallas

驻美总领馆指定检测机构_达拉斯地区_1/Testing & Sample Collection Institutes in Dallas_1

A.Ayass Bioscience, Frisco/Ayass Bioscience, Frisco B.Realtime Laboratories, Carrollton/Realtime Laboratories, Carrollton

驻芝加哥总领馆指定检测机构_芝加哥地区_1/Testing & Sample Collection Institutes in Chicago_1

A.GoPath Laboratories LLC, Buffalo Grove/GoPath Laboratories LLC, Buffalo Grove B.Radiance Diagnostics, Naperville/Radiance Diagnostics, Naperville

驻旧金山总领馆指定检测机构_西雅图地区_1/Testing & Sample Collection Institutes in Seattle_1

A.US BioTek Laboratories Shoreline/US BioTek Laboratories Shoreline B.ARCpoint Labs of Seattle West/ARCpoint Labs of Seattle West C.ARCpoint Labs of Renton/ARCpoint Labs of Renton

驻旧金山总领馆指定检测机构_旧金山地区_1/Testing & Sample Collection Institutes in San Francisco_1

A.Apostle Diagnostics, 旧金山机场/Apostle Diagnostics, SFO B.Apostle Diagnostics, San Jose/Apostle Diagnostics, San Jose C.TargetDx Laboratory, 旧金山机场/TargetDx Laboratory, SFO D.TargetDx Laboratory, San Jose/TargetDx Laboratory, San Jose

驻纽约总领馆指定检测机构_1/Testing & Sample Collection Institutes in New York_1

A.Newpath Diagnostic Laboratory, Queens/Newpath Diagnostic Laboratory, Queens B.Lenco Diagnostics Laboratories, Flushing/Lenco Diagnostics Laboratories, Flushing

驻洛杉矶总领馆指定检测机构_1/Designated Collection and Testing Institutes in Los Angeles_1

A.Medical Diagnostic Laboratory_Airport Diagnostic Institute/Medical Diagnostic Laboratory_Airport Diagnostic Institute B.Nova/Genentox Diagnostics Labs, Los Angeles/Nova/Genentox Diagnostics Labs, Los Angeles C.Nova/Genentox Diagnostics Labs, Santa Ana/Nova/Genentox Diagnostics Labs, Santa Ana D.Equaltox Laboratory/Equaltox Laboratory E.Sun Clinical Laboratory, El Monte/Sun Clinical Laboratory, El Monte F.Sun Clinical_William Bao MD Inc./Sun Clinical_William Bao MD Inc.

驻芝加哥总领馆指定检测机构_底特律地区_1/Testing & Sample Collection Institutes in Detroit_1

A.Great Lakes Medical Laboratory Inc, Farmington Hills/Great Lakes Medical Laboratory Inc, Farmington Hills B.BioGenetics Diagnostics/BioGenetics Diagnostics

护照姓名英文拼写/English name on passport

护照号码/Passport Number

检测人出生日期/Date of birth

检测人性别/Gender

A.男/Male B.女/Female

用于接受双阴检测报告的邮箱/Email address for receiving COVID test reports
注：请务必提供准确的电子邮件地址，以免耽误收到检测结果时间。/

美国联系电话/US contact number
请用划线“-”对号码进行分隔，如：000-000-0000，确保预约成功后，可以及时联系到您/

美国居住地址/Contact address in the US
请详细填写美国居住地址（住家或是酒店），包括街道，城市，邮编。检测机构要求务必填写。/

中国联系电话/China contact number
请依照以下方式填写，如：0086 00000000000/

中国联系地址/Contact address in China

从哪里了解到的信凯尔（本题可多选）- 双阴 /How did you hear about SinCare? - COVID

A.华人资讯网/Chinese news B.YouTube直播/YouTube C.微信公众号/WeChat Official Account D.百度搜索/Baidu E.谷歌Google搜索/Google F.慈铭/CiMing G.登机牌广告/Boarding pass H.其他 - 请在下题中填写/Other - Please specify

从哪里了解到信凯尔 - 其他 - 双阴 /How did you hear about Sincare - Others - COVID

你的留言 - 双阴（填写时请勿空格，请勿分段落）/Your messages (Do not space out and break into paragraphs when describing)

双阴检测/COVID Testing Intake

账单支付信息/Payment Information