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Super Health Pharmacy COVID-19 Form
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  • 1
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    Premium Concierge Service!
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    Please arrive promptly at your scheduled time.
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  • 5
    Testing Starts At 10AM Daily! You must have an appointment TIME slot booked on previous screen unless otherwise authorized by pharmacy personnel.
    Pick a Date
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  • 8
    MM-DD-YYYY
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  • 13
    Required By CDC
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  • 14
    Required By CDC
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  • 18
    Needed if you need the results emailed to you
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  • 19
    Drivers License, Passport, Etc
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    Max. file size: 10.6MB
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    Payment is nonrefundable; Items will be delivered curbside during testing
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      ORDER SUMMARY
      Total costUSD
      • Rapid COVID-19 TESTFastest way to get in and out is by paying online
        $120.00+
        Back
        Total cost $0.00
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