• COVID-19 Testing Program Enrollment

    New Jersey Schools
  • To enroll your New Jersey school or school district in the Mirimus COVID Testing Program, please complete this form. After form submission, a Mirimus representative will contact the Primary Contact for program setup.

  • School or District Information

  •  -  -
    Pick a Date
  • Contacts

  • Please provide at least 1 contact as primary, onsite coordinator, and restults administrator. One contact can be all 3.

  • Notes

  • Should be Empty: