• Covid-19 Intake Form

    4141 B St Ste 210 Anchorage, AK 99503
  • REGULAR HOURS: Monday through Friday- 7:00 AM- 5:00 PM

    Saturday & Sunday 11:00 AM - 3:00 PM  By appointment only.  Please wait for a confirmation text or phone call before heading to our location. Our staff is not available by phone after hours.  Please text us after hours.  We will reply to you within 2 hours.

  • Please TEXT/CALL us when you are parked in our parking lot. This is the only way we will know that you have arrived for your appointment.  Our voicemail will be on after hours and on the weekends.  We will be right with you when we get your voicemail/text notification!

     

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    Pick a Date
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    Pick a Date
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  • Information about you

    Have you had any of the following symptoms in the last 14 days?
  • Give your consent

    (Please check every paragraph to confirm consent.)
  • Only check if the following statement pertains to your visit today

  • If applicable, for Trusted Travel Program answer the following three questions:

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  • You will receive a confirmation email with a receipt and a copy of the form you filled out. A seperate email is generated with a password to open the form. Thank you and take care!

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                      Rapid Antigen Test(Nasal swab, results in 30 minutes)
                      $209.00
                        
                      Rapid NAA Test (Same Day)(Nasal swab)
                      $275.00
                        
                      Rapid RT-PCR Test (Same Day)(Nasal Swab)
                      $275.00
                        
                      Rapid RT-PCR/Flu/RSV Test (Same Day)(Nasal Swab)
                      $285.00
                        
                      Saliva PCR Test (72 Hours)(Lab based, results in 2-4 business days after lab receives the specimen. Specimens are sent FedEx next-day air. Specimens collected on Friday after 12 pm or on Saturday will go out the following Monday.)
                      $199.00
                        
                      Antibody Test(Blood test; lab based; results in 2-4 business days after lab receives the specimen. Specimens are sent FedEx next-day air. Specimens collected on Friday after 12 pm or on Saturday will go out the following Monday.)
                      $149.00
                        
                      Immune Response Panel- Antibody Test(Blood draw, lab based; results in 2-4 business days after lab receives the specimen. Specimens are sent FedEx next day air. Specimens collected on Friday after 10 am or on Saturday will go out the following Monday.)
                      $199.00
                        
                      Individual Mobile FeeIf collection address is at home/work or hotel address for t1-2 people; or if collect is after our published office hours.
                      $50.00
                        
                      Group Mobile FeeIf collection address is at home/work or hotel address for three or more people; or if collect is after our published office hours.
                      $100.00
                        
                      Total
                      $0.00

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