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Wagner College-Super Health Pharmacy COVID-19 Form
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    You will also have the option to do the free test with the rapid test at the end of the form.
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    New 2 Minute Intervals. One appointment per person.
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    For your reference
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    MM/DD/YYYY
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    Required By CDC
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    Required By CDC
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    Name of Insurance Company
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    Very important your email is accurate for testing instructions.
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    Drivers License, Passport, Etc
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    Max. file size: 10.6MB
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    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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    Payment is nonrefundable; We will provide an itemized receipt if you would like to submit this to your insurance for possible reimbursement. SELECT YOUR OPTION FROM THE DROP DOWN.
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      ORDER SUMMARY
      Total costUSD
      • Rapid COVID-19 TESTFastest way to get in and out is by paying online
        $120.00+Edit
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        Rapid Antigen Test
        • Rapid Antigen Test
        • Rapid Antibody Test
        Subtotal: $0.00
        Total cost $0.00
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        Results within 2-3 days
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        You will now be redirected to siParadigm Lab Portal. You must register with the lab in order to get the Free PCR Test. Results will take 2 days. You may need to use different email addresses for different patients. Please provide the confirmation number you get from the lab via email when you arrive at the testing location on campus. Only fill out the siParadigm portal if this is your first time testing with us on campus, otherwise you can use the same confirmation code used previously. 

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