Rapid Covid Testing

Occupational Care Services Intake Form & Registration
Please complete the following form to begin registering for Rapid Covid Testing. Cost per test is $100, payable online, or $90 cash upon arrival-- directions to follow.
Sex
Are you experiencing any flu-like symptoms, or feeling sick today?
Have you or a family member traveled internationally within the past 3 months?
Have you/a family member been in contact with someone who has a confirmed case of COVID-19?

Your Signature

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