Orderform for Sensitest Covid-19 Rapid Test
Through this form you can file your request for pre-ordering the Sensitest Corona Covid-19 Rapid Test. This request can only be done by international customers, distributors, doctors, dentists, nurses and hospitals. We do not sell this product to the public in the EU. Companies outside the Netherlands can get a VAT/IVA reduction with their taxnumber.

Sensitest Netherlands
Distributieweg 54
2645 EJ Delfgauw
The Netherlands

Customer service
monday-friday from 10.00-17.30 uur (CET)

• Netherlands Tel. +31153642121
• Belgium Tel. +3238081447


Order form
Use this form to send us your order or request.

Company/Hospital/Doctor:

Mr/Mrs:


First name:

Last name:

Street name:

House number:

House number extra:

Extra address line:

Postal code:

City:

Country:

E-mail:


Cellphone:


BIG nummer/Doctor registration (EU only):


Product:


Remarks: