Please check with your travel destination which type of test is required and how long before travel the test must be conducted. West End Pharmacy is unable to bill Medical insurance for COVID Testing. You will be provided with a receipt that you may be able to submit to your insurance to get reimbursed for the cost of COVID-19 testing.
I certify that I am at least 18 years old and hereby give my consent to the pharmacists of West End Pharamcy to provide me Rapid COVID testing. If under 18 years old signature by parent or guardian is required.
I have received a copy of the notice of Privacy Practices. I understand the notice of Privacy Practices provides an explanation of the ways in which my health information may be used or disclosed by the pharmacy and of my rights with respect to my health information. I have been provided with the opportunity to discuss concerns I may have regarding the privacy of my health information.
By clicking the "Submit" button below, you certify that the above information is correct and accurate to the best of your knowledge. All information is confidential and is accessed only via a secure, encrypted interface.