• RAPID ANTIGEN COVID-19 TEST ($75)

    Please contact your selected pharmacy location to check for availability and testing hours before submitting this form. (Xin quý vị vui lòng gọi cho tiệm thuốc để biết giờ xét nghiệm trước khi điền đơn)
  • Diagnostic Testing & Screening Form

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  • PATIENT SYMPTOMS

    Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

    Nếu quý vị có những triệu chứng sau, xin điền vào dứới đây

  • Reasons for High Risk

  • COVID TEST RESULTS:

     

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  • **Important, Please Read**

    Notes to our Clients and Patients:

    Please go to the MTM Pharmacy Location that you have contacted to receive your test. Testing are provided based on First Come First Serve Basis. Antigen Tests are $75 per test per person. Results are available in 15-20 minutes. We highly recommend using the section below to make the payment online. 

    Please note that antigen tests has a 98%-100% specificity, which means the false positive rate is less than 2% of all the tests performed. Another PCR test is highly recommended to confirm the result.

    When you arrive at the testing sites, please DO NOT enter the pharmacy. Please park and wait in your car, then call the phone number of that pharmacy location and provide staff with your car information (color, make, last 3 digit of your license plate, parking location). Payments will be required before the procedure is performed. If You would like to pay in person instead of paying online, please give payment to pharmacy staff upon arrival.

    Khi quý vị đến nơi, xin đừng bước vào tiệm thuốc, xin đậu xe và gọi vào số điện thoại và cho nhân viên chúng tôi biết quý vị đang ngồi trong xe nào. Xin quý vị vui lòng thanh toán tiền $75 trước khi được xét nghiệm. Nếu quý vị muốn trả bằng tiền mặt, xin vui lòng gửi tiền cho nhân viên của chúng tôi khi đến nơi.

     

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    Rapid Antigen Covid-19 Onsite Test Please Check the "circle" on the top left corner of this Product if you are going to pay online. We encourage online payment to reduce contact between staff and patient as a safety precaution.
    $ 75.00
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    $ 0.00

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