Covid-19 Rapid Test ( results in 10 min )
$40 Testing Fee (not covered by Insurance)
Instructions
PARK YOUR CAR, COME IN THE BACK DOOR ENTRANCE
Name
*
First Name
Last Name
Birthday
*
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Month
-
Day
Year
Date
Email
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Appointment
*
Gender
Male
Female
Race/Ethnicity (required by CDC)
Asian or Pacific Islander
Black or African American
Hispanic or Latino
Native American or Alaskan Native
White or Caucasian
Other
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Covid-19 Rapid Test
$
40.00
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