PCR Testing Appointment
Please be advised that we do not treat medical emergencies. If you need emergency medical assistance, please call 911.
Have you had, in the last 24 hours, any of the symptoms of COVID-19? See symptoms
*
Yes
No
Have you had close contact with anyone who has tested positive for COVID-19 within the last 14 days, or who has experienced COVID-19 symptoms within the last 14 days?
*
Yes
No
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Your Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Your Gender
*
Male
Female
Your Date of Birth
*
-
Month
-
Day
Year
Date
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Schedule Your Appointment
Appointment
*
Select Your Service
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PCR Test
$
250.00
Credit Card
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