At-Office PCR Covid Testing Appointment Form

At-Office COVID-19 Testing

Submit form below and a representative will be in touch with you shortly.
Company Name
Full Name
Please enter name of individual submitting request
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail Address
example@example.com
Please select the preferred 3 hour start time slot for your PCR Covid-19 test below...
Preferred Appointment Day & Time...
Any Special Instructions or Preferences?
COVID-19 Testing
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COVID-19 PCR Test$40.00
$40 per person - minimum 10 people

Quantity

Total $0.00
***Cancellation may be made with full refunds anytime before the 12-hour window of a scheduled appointment. To reschedule or cancel your appointment, send your email to manager@gehealthit.com. Please note, there will be a $75 processing fee for any cancellation notice or request to reschedule submitted 12 hours or less of your scheduled appointment.
***CARES Act Reimbursable
The cost of laboratory testing will be billed to your insurance provider. Under the CARES Act, COVID-19 lab fees are often covered by insurance, but GE Health Solutions Inc. cannot guarantee coverage. If your insurance provider does not cover the lab fee, the lab company (Bioreference) will bill you directly. It is always a good idea to check with your insurance provider if you have questions about whether the lab fee will be covered.
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At-Office COVID-19 Testing

COVID-19 Testing