TNTestexpress Scheduling Form

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

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 -RT (Screening (*Results Same-Day by 4:30 pm) $260.00 (*See our Terms and Conditions for details / By Appointment only / Service not offered on Sundays or other Major US Holidays / Please call (629) 777-6331 for specifics) EMERGENCY CALL-IN/CALL-BACK TESTING SERVICE- 7 am - 9 pm (YOU MUST CALL (629)777-6331 to discuss your situation/ We will make every attempt to accommodate your situation, but this service is not guaranteed) additional $100.00 added to testing fee. If you do not talk with someone live, this service is not available. 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

If you need or you checked the EMERGENCY CALL-IN/CALL-BACK TESTING SERVICE box, please follow the below "Criteria" instructions.

Criteria:

1. Service offered during these hours (Staff availability not guaranteed)-

A. Monday - Friday 6 am -8 am / 3 pm - 9 pm

B. Saturday 7 am - 10 am / 3 pm - 9 pm

C. Sunday or Major US Holidays 8 am - 9 pm

2. YOU MUST CALL (629)777-6331 to discuss your situation/ We will make every attempt to accommodate your situation, but this service is not guaranteed.

2. A $100.00 CALL-IN fee will be added to the testing total. If more than one person in your family needs testing at the same time, you will only be charged ONE CALL-IN fee

3. If you do not talk with someone live, this service is not available.

TNTestexpress is located at 1600 Westgate Circle, Suite 125, Brentwood, TN 37027.