COVID-19 Testing Drive Through


Tell us about yourself regarding the appointment:


Do you have a referral from your primary care physician? *
    

Are you 18 or older? *
    

Are you scheduling appointment for you? *
    

Are you scheduling appointment for your child?
    


In the past 24 hours, have you experienced any of these symptoms? (Select any that apply)


Do you have any of the follwoing medical conditions? (Select any that apply)


Have you been prioritized by any health department for testing? *
    

Are you a first responder, a healthcare worker, or a law enforcement officer? *
    

Do you live in a long-term facility or a nursing home? *
    

Do you live or work in a treatment facility? *
    

Are you a caregiver for either an old person (age 60 or older) or someone who has a weakened immune system? *