RAPID PCR COVID 19 TEST

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Please read the following statement in it's entirety: Due to high testing demand, we do not allow appointment cancellations. *Tests are $125 and non-refundable.* These are RAPID RT-PCR TESTS. Please verify with your end user if they will accept COVID-19 Test as clearance, if this test is intended for such purpose: work, travel, nursing home, hospital, etc. By signing your name, you agree to our terms that PHARMACY TOWN LLC will not be held responsible for any representations.* This field is required.
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Currently Available AppointmentsPlease call the pharmacy 732-493-5100 for any last minute openings. Thank You
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Appointment* This field is required.
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Date and Time of Test Confirmation* This field is required.You must have an appointment TIME slot booked on the previous page. Please enter it here
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Patient Name* This field is required.
First Name
Middle Initial
Last Name
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Gender* This field is required.
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Date of Birth* This field is required.MM-DD-YYYY
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Address* This field is required.
Street Address
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Cell Phone* This field is required.
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Email* This field is required.Needed if you need the results emailed to you
example@example.com
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Race** This field is required.Required By CDC
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Ethnicity** This field is required.Required By CDC
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COVID 19 (SARS CoV 2 Assay) via Nasal Swab* This field is required.
Rapid Covid-19 PCR Nasal Swab Test (Results in 15 minutes)
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ICD-10 Code* This field is required.PLEASE STAY IN YOUR CAR AND PULL UP TO THE FRONT OF THE STORE IF YOU ARE SYPTOMATIC OR HAVE BEEN EXPOSED TO SOMEONE WITH COVID. DO NOT COME INSIDE.
Z20.828 Contact with and suspected exposure to other viral communicable disease (DO NOT COME INSIDE, STAY IN YOUR CAR)
Z11.59 Asymptomatic, no known exposure, results unknown or negative
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Payment* This field is required.
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ORDER SUMMARY
Total costUSD
COVID-19 RAPID PCR TESTThis is NON-REFUNDABLE. If you cancel or no-show, you will not receive a refund.
$125.00Edit
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Total cost $0.00
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Results under FDA approved under EUA category, ABBOTT ID NOW PCR TEST detection of SARS-CoV-2
NEGATIVE
POSITIVE
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