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At home Covid Test
Patient Intake
New York
  • Patient Information

  • If ordering a test for a minor: Please make sure the minor’s information is provided in the registration process, not your own.

  • We found multiple patients with this email. Please select the patient you are ordering the kit for.
  • Passport Information (for Travel)

  • Not all countries require a passport number but providing this will make it easier for you when boarding your flight.
  • You may upload your insurance card to speed up the verification process.

  • Accepted file types: jpeg, jpg, gif, png, heif, heic, Max. file size: 200 MB.
  • Accepted file types: jpeg, jpg, gif, png, heif, heic, Max. file size: 200 MB.
  • Accepted file types: jpeg, jpg, gif, png, heif, heic, Max. file size: 200 MB.
  • Accepted file types: jpeg, jpg, gif, png, heif, heic, Max. file size: 200 MB.
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  • Review Order

  • Please review your information below and ensure all information is correct before placing your order.
    Important: The person named below must be the person who is taking the test
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