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BOOK YOUR APPOINTMENT

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We need to collect a few details before we can begin testing.

Complete the patient form below and continue to our booking portal.

Before signing up, check our our FAQ.

Patient Registration

Personal Information:

First Name

Last Name:

Email:

COVID-19 Information:

Are you experiencing flu like symptoms?

Fever

Cough

Chills

Shortness of Breath

Sore Throat

Diarrhea

Fatigue

Headache

Congestion

Loss of Taste or Smell

Vomiting

Nausea

None

Have you previously tested positive?

Yes

No

If yes, please explain:

Do you suspect you've been exposed directly or indirectly?

Yes

No

If yes, please explain:

HAVE A QUESTION?

We're here to help. Visit our FAQ page for more information on which test is right for you, how long you'll wait for the results and how to quarantine if you've started showing symptoms.

HEALTHY PEOPLE. SAFE PLACES.

On-Site testing solutions and strategies.

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