Online Check-In

COVID-19 Testing, Telehealth Services, & More!

The online check-in is designed to speed up the paperwork process during your urgent care visit. Please read through the information below to ensure the form is filled correctly.

PLEASE CALL AND CONFIRM YOUR APPOINTMENT. ONLINE CHECK-INS ARE NOT CONFIRMED!!!

The online check-in IS NOT an appointment! Covid-19 Rapid Antigen testing is on a limited first-come first-serve basis. DO NOT select an appointment date and time as testing is on a walk-in basis.

Please note: Due to the increased demand of covid-19 testing, please be advised that results can take up to 1-2 weeks for COVID-19 PCR testing.

GENERAL INFORMATION FOR COVID TESTING!

- Rapid Antigen and Covid-19 PCR testing is covered by insurance (IF we accept the insurance). Copays have been waived for the covid-19 testing. We do not know how much of the cost insurance will pay until the claim is submitted. Please contact your insurance for further details on coverage and benefits. Out of pocket, the tests are 195.00 dollars.

- NO MEDICAL, KAISER, OR OUT OF CITY/STATE (unless PPOs) is accepted for covid testing!

- We are not a trusted travel lab. The only test is we offer for travel-related purposes is the Rapid PCR. THIS TEST IS NOT COVERED BY INSURANCE AND IS $200.00 OUT OF POCKET.

Select a Reason *

Are you a new patient? *

Yes No

Name *

First Name Last Name

Date of Birth *

Format: (MM/DD/YYYY)

Sex: *

Male Female

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number: *

Format: XXX-XXX-XXXX

E-mail *

Format: myname@example.com

Photo ID: *

Front Side ONLY

Health Concerns Pertaining to the Visit: *

Preferred Pharmacy *

Name and Address REQUIRED

How would you like to pay? *

Insurance Card: Front Side

Insurance Card: Back Side

Select an Appointment Date & Time:

Terms & Conditions *

I understand that my time spot could be delayed due to unforeseen circumstances, but that Clovis Urgent Care does everything possible to accommodate my requested time spot.