Reporting as a patient to Okinawa Antigen Testing and Positive Person Registration Center

This form is for those who need language support to report as a COVID-19 patient to Okinawa Antigen Testing and Positive Person Registration Center by themselves.
(in case of a positive test result by a medical grade antigen kit by yourself, off-campus PCR Testing Center, or by doctor's decision)

陽性判定となり検査機関から自分で陽性者登録センターへ登録するように指示された方で、言語サポートが必要な場合は下記フォームからサポートをお申込みください。

 
1 スタート 2 Preview/入力内容確認 3 完了
Select the test type 検査の種類
Select the onset day (if you are asymptomatic, tested day) 発症日(無症状の方は検査した日)
cm
kg
Please input the clinic name or testing facility you visited.
Please input the date when you've been diagnosed as a COVID-19 patient.
If you have been infected more than once, please tell us the time of your last infection. 一回以上感染したことがある場合は最後に感染した時期を教えてください。
times 回
Attach a photo of the package incl. the Name/Maker and the expiration date. キットの使用期限、メーカーやキット名がわかる写真を添付してください。
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
mins. 分
If a retest is necessary, you may be asked to come to the OIST parking lot to be retested. 再検査が必要な場合は、OISTの駐車場まで来てもらって再検査します。
Please attach a jpeg document.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
Please attach a jpeg/png document to prove the result: if you visited a clinic or PCR Testing center, please make sure to include the name of the testing facility as well as the test result. If you used a medical grade antigen test kit please upload the test ,) 陽性が確認できる資料(検査キットの写真、「診断結果票」の写真、医療機関発行の検査結果報告書等。)
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
If you have a family doctor (GP) please write the name of the clinic. かかりつけの医療機関があれば名称を入力してください
If you know please input the SPO2 (oxygen saturation) わかる方は酸素飽和度を入力してください。