Cedar Care Covid Tuesday Overflow
$25.00 Out-of-Pocket Fee - We are not able to bill insurance at this time. DO NOT ENTER THE PHARMACY without wearing a mask and without calling 937-766-2273. We will direct which door to for you to come into.
COVID Test Appointment
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Birthday
-
Month
-
Day
Year
Date
Do you live, work, or go to school in the village of Cedarville?
Yes
No
Are you having COVID symptoms (cough, loss of smell or taste, fever, chills, body ache or loss of appetite)?
Yes
No
Have you been exposed to someone who tested positive for COVID in the last 10 days?
Yes
No
Not Sure
I agree that I am scheduling an appointment for a COVID rapid antigen test and not a COVID vaccine. I agree not to enter the pharmacy without calling 937-766-2273 first. I agree to wear a mask upon entering the pharmacy.
*
I agree
Submit
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