suspectedtest

Report a Suspected Case and Request a COVID-19 Test

The form below shall be used to notify QP of any person who is working within the Energy Sector and is determined to be a Suspected Case and to request that the person is tested. A person is considered a Suspected Case if the following criteria apply:

A body temperature of > 37.8 degrees Celsius; AND / OR
Other symptoms of flu (e.g. cough); AND / OR
Has been in Close Contact with a CONFIRMED case within the past 14 days.

‘Close Contact’ means more than 15 continuous minutes within 1.5 metres of the person.

Once your appointment is confirmed, individuals should report to the clinic as directed in the confirmation. QP medical staff will collect a sample by swab, it will take a few seconds only. Results usually are received within 24 hours.

INSTRUCTIONS

1. All fields MUST be filled.

2. All fields must be filled in EXACTLY the same format as shown.

3. Failure to complete the form correctly may result in the decline of your request.

4. Appointment time at the Clinic will be sent by SMS to the individual's cellphone AND by email to the registered email.

5. All people arriving for testing MUST present their QID or Passport if they don’t have a QID.

Family (First) Name
Family (Last) Name
Middle Name
Nationality *
Employer *
Energy Sector Company working on behalf of *
Work Location *
Accomodation Status *
Accomodation Location (*)
Job Title *
Date of Birth *
QID No (* if not available, provide a passport number below)
Passport Number (* if a QID is not available)
Mobile Number *
Company Rep Email (*)
Personal Email *
Suspected because	A body temperature of > 37.8 degrees Celsius Other symptoms of flu (e.g. cough) Has been in Close Contact with a CONFIRMED case within the past 14 days
Preferred Test Location *

Accept QP terms and conditions of data management, and confirm declaration of true information (see details below)

Declaration of true information:

I/we confirm to QP that the information given in this form is true, complete and accurate.

QP terms and conditions of data management:

I/we agree to Qatar Petroleum storing and using the data submitted. Collected personal data will be processed in accordance with the requirements of the applicable laws and regulations of the State of Qatar and strictly for the purposes of managing the coronavirus crisis. Relevant personal data will be retained for no longer than is necessary for the purposes for which it is collected. Personal data will be securely erased once it is no longer needed.

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