Confirm all information is correct, agree to terms and click "Book Time" to complete your appointment.
Location:
Location Address:
School Contact:
Contact Email:
Contact Phone:
Service:
Date:
Time:
EID:
First Name:
Middle Initial:
Last Name:
Phone:
Email:
Date of Birth:
Gender:
Race:
Ethnicity:
Address:
City:
State:
Zip Code:
Drivers’ s license or state ID
Bring Appointment confirmation
Bring Signed Consent form
Upon arrival, follow the signage posted at the site
Make sure to wear face coverings at all time. Do not remove it until you are instructed to do so
I have read and agreed to the terms of the
consent form. I understand that I will need to print and bring a copy of the completed consent form with me to my
testing appointment. I understand that test results will be sent to my school district and I will only be contacted directly via
phone or email if I have been diagnosed positively for Covid-19
Success!
We will send you a confirmation email shortly.
