There is no cost to you for this test. If you have medical insurance, it fully covers the cost with no co-pay. If you don't have insurance, the federal CARES ACT provides testing when matched to your SSN. You may receive a statement from your insurance company - an explanation of Benefits (EOB) - but it is not a bill and there is nothing to pay even if a balance is indicated.

Please note that all participants are required to arrive at the designated test location in a vehicle (if applicable) and wearing a mask.

Please register your test kit using the sample barcode and your information.

Format: 5553334444

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 (Optional) Format: 5553334444

Please let us know the following to help prioritize your test -

Current Symptoms:
















Current Medical History:










Additional Questions:



Acknowledgement and Authorization to Test:


I additionally authorize that a test sample be taken from myself or my child or legal dependent for COVID 19. I hereby consent to the release of this medical information related to this service for submission of personalized reports to my healthcare providers, employer, school, insurance carriers, and with certain federal, state, or local agencies for public health purposes. I understand that, as with any medical test, the potential for false positive or false negative test results can occur and I hereby release the laboratory and it.s agents from any and all liability . If I do not provide health insurance information, I attest that I do not have insurance and the charges for laboratory services shall be billed to uninsured programs.