WALK-IN TESTING
COVID-19, Influenza (Flu) A and B, and RSV

IMPORTANT – PLEASE READ

To ensure that we get your test result back to you as-soon-as-possible, please read carefully!

Complete this form for each person being tested.
Ensure the following are correct.

First and Last Names
Date of Birth

Mobile Number to send your test result,
and in case we need to contact you

Submit