Request to be a Testing Site

Submitted by jgomez on Thu, 11/12/2020 - 16:43

Please complete this form to request COVID-19 testing. Requests should be submitted at least two (2) weeks in advance of proposed event date. Completion of the form does not guarantee testing.

Address
Location Type (check one)
Type of Request (check one)
Recurring Request Dates
Priority Population (check all that apply)
Schools (check one)
Testing Requested (check one)
Event Information (please check all that apply)