South of Florida Concierge Covid-19 Testing
Please select the number of patients for Covid-19 Testing:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Back
Next
South of Florida Concierge Covid-19 Testing
Lead Patient Name
*
First Name
Last Name
Phone Number
*
Email
*
Address of Test Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
If you are testing due to upcoming travel plans, please select your departure date:
/
Month
/
Day
Year
Patient 2
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 3
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 4
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 5
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 6
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 7
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 8
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 9
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 10
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 11
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 12
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 13
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 14
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 15
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 16
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 17
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 18
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 19
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Patient 20
Patient Name
*
First Name
Last Name
DOB
*
/
Month
/
Day
Year
Gender
*
Female
Male
Back
Next
Select Your Appointment
*
-
Month
-
Day
Year
Date
Select Your Preferred Time Frame
9AM - 12PM
12PM - 3PM
3PM - 6:30PM
A Med2u Inc. Representative will reach out to confirm your appointment time.
Notes and Special Instructions
My Products
*
prev
next
( X )
COVID-19 RT PCR Test
$
200.00
Receive the lab report results in the evening of the following business day.
Quantity
Covid-19 Antigen Rapid Test
$
150.00
Receive results in 15-30 minutes
Quantity
Rapid Antibody IgG & IgM Test
$
100.00
Receive results in 10-20 minutes
Quantity
Travel and Exposure Fee
$
100.00
Includes 40 miles from Hollywood, Florida. Each additional 50 miles is an additional $200.
Total
$
0.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
Place Order
Should be Empty: