Med2u Inc. New York Concierge

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New York Concierge Covid-19 Testing

Schedule a Technician to come collect your sample from the comfort of your Home or Office
Number Of Patients*

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Lead Patient Name *

First NameLast Name
Phone Number*
E-mail*
example@example.com
Address Of Test Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Of Birth*

MonthDayYear
Gender*
If You Are Testing Due To Upcoming Travel Plans, Please Enter Departure Date.

MonthDayYear
Date
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 2
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 3
Name*

First NameLast Name
Date Of Birth*

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 4
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 5
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 6
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 7
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 8
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 9
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 10
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 11
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 12
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 13
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:*
Patient 14
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 15
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 16
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 17
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 18
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 19
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:
Patient 20
Name*

First NameLast Name
Date Of Birth *

MonthDayYear
Date
Gender*
Please enter your passport number below if you'd like for us to include It On Your Report:

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Covid PCR tests have a cut-off time of 6:30PM EST for next business day results.
Select Your Appointment Date*

MonthDayYear
Date
9AM - 12PM12PM - 3PM3PM - 7PM
A Med2u Inc. Representative will reach out to confirm your appointment time.

My Products*

Standard COVID-19 rt-PCR Test $300.00

Receive the lab report results Next Day by 11:00pm

Quantity

Same Day Covid-19 rt-PCR Test$500.00

Receive Report Same Day by 10:00pm

Quantity

Swift 2 hr. Covid-19 rt-PCR Test$750.00

Receive Test Report in 2 Hours

Quantity

Covid-19 Antigen Rapid Test $250.00

Receive results in 15-30 minutes

Quantity

Rapid Antibody IgG & IgM Test $200.00

Receive results in 20 minutes

Quantity

Total $0.00

Credit Card

Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Notes and Special Instructions
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Should be Empty:

New York Concierge Covid-19 Testing

Patient 2

Patient 3

Patient 4

Patient 5

Patient 6

Patient 7

Patient 8

Patient 9

Patient 10

Patient 11

Patient 12

Patient 13

Patient 14

Patient 15

Patient 16

Patient 17

Patient 18

Patient 19

Patient 20

Covid PCR tests have a cut-off time of 6:30PM EST for next business day results.

Credit Card