TEST FORM

Please fill out the following form to help us understand your physical condition. Submissions are REQUIRED before you drive up for Covid 19 Rapid Test.

Gender
Are you a member of the following groups: First responders, dispatchers, public works, teachers/school staff, or National Guard
Do you have any symptoms?
Upload File

$100.00

Thanks for submitting!

Please remain in your Vehicle as we prepare for your test.