COVID-19 Rapid Test
This rapid test is only for individuals who had symptom onset 5 OR LESS days ago. If you have experienced symptoms longer than 5 days, please contact your primary care provider. If you test positive for COVID-19, our pharmacists can write you a prescription for Paxlovid for treatment.
Appointment
*
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Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Are you pregnant?
*
Yes
No
What is the reason for testing?
*
Employer request
Symptomatic
Exposure
Other
Are you symptomatic at this time? Symptoms may include any of the following but not limited to: cough, sore throat, shortness of breath, fever of 100 or above, loss of taste or smell, muscle aches.
*
Yes
No
Have you had direct exposure to COVID-19?
*
Yes
No
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I consent to being tested for COVID-19 by Gibbs Pharmacy. This will consist of a nasal swab. Every test has a slight risk of a false positive or negative result. Please sign to allow consent.
*
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Payment
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COVID-19 Rapid Test
$
50.00
Quantity
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Credit Card
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