TNTestexpress Scheduling Form

You are scheduling an appointment at our 1600 Westgate Circle, Suite 125, Brentwood, TN, 37027 location.

IMPORTANT NOTE:

Our curb-side drive-up service at the Brentwood location will close as of Monday, May 17th, 2021. Please come into the building and visit us in suite 125.

Select your appointment date and time (Same day appointments available) *

Would you be interested in participating in a COVID-19 treatment clinical trial, should you test positive for COVID-19 (must be at least 18 years old) *

Full Name *

First Name Last Name

Date Of Birth *

Date

Sex: *

Ethnicity: *

Race: *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

Email Address: *

example@example.com

Requested Screening Test *

COVID-19 Rapid Antigen Screening (Results in 15-minutes) $109.00 COVID-19 Rapid Antibody Screening (Results in 15-minutes) $109.00 COVID-19 PCR-MOL (Saliva) Screening (Results in 48-72 hour) $169.00 SAR-Cov-2 (COVID-19) Fit-To-Fly Certificate $50.00 (It is the travelers responsibility to contact their destination state (airlines) or country (Embassy) for specific testing requirement and timelines. Please note that it will take 24 hours to complete the certificate once we receive your final lab results. We cannot email the Fit-to-Fly Certificate). Both COVID-19 Rapid Antigen and Antibody Screening (Results in 15-minutes) $218.00 Influenza A & B Screening (Results in 15-minutes) $109.00

TNTestexpress is located in the south parking lot at 1600 Westgate Circle, Brentwood, TN 37027.