Most patients with confirmed COVID-19 have developed fever and/or symptoms of acute respiratory illness (e.g., cough, difficulty breathing).
If you have symptoms of COVID-19 and want to get tested, without staying in the line or visiting potentially infected areas, such as hospitals and clinics, call (786-250-3419) or email us (firstname.lastname@example.org) and we will send you a COVID-19 sample collection kit. Once you obtain the kit, collect your sample at home or with a help of medical professional and ship it back to us,
You can download the pdf file below (requisition and consent form as well as instruction), fill the form and send them to us together with your sample.
Don't have access to a printer? No worries, we send required forms inside your sample collection kit.
Fill out the patient secure form to receive COVID-19 sample collection kit.
You would need to enter correct identifiers (Name, address, DOB and valid email address) in order to receive your HIPAA compliant patient reports.
Please note that you would be directed to a secure portal to enter your data and your personal data is safe and secure.
Required forms for COVID-19 testing
COVID-19 Sample Collection_Kit_Content (pdf)Download
Sample Collection Instruction V3 (pdf)Download
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