COVID, Flu, and/or Strep Test Consent JotForm

  • Pricing for Test & Treat

    COVID, FLU, AND STREP TEST: $75.00

    COVID/FLU TEST: $55.00

    STREP TEST: $55.00

    We can bill most prescription insurances for the medications prescribed following a positive COVID, Flu and/or Strep test.

    Disclaimer: Please note that if you have selected YES to any of the below, have abnormal vitals at the time of appointment, or cannot provide updated kidney function lab results, we will only be able to test you and will not be able to prescribe medication. 

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  • By signing below, you agree that you have completed the patient history form to the best of your knowledge and understand that you have the right to refuse the recommended treatment options. You consent to, or give consent for, the administration of the testing for influenza, COVID, and/or Strep A. 

    Additionally, you agree to present payment at the time of service for the testing at the pharmacy.

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