Register For COVID-19 Testing

If you already have an account with us, please login at the login page.

Demographic Information
Guardian Contact Info

Required if the person being tested is a minor or has a legal guardian.

Address
Medical Insurance Info

Insurace information is required if you have medical insurance.

Insurance or ID Card

Upload your insurance card or ID card (such as state drivers license card, state ID card), or enter your SSN or your state drivers license number or state ID number.


Your Password

Please choose a password for your account.

A good password is "complex", easy for you to remember but hard for others to guess.

You must agree to the Disclaimer to register.

I have read and acknowledge the Disclaimer