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  • COVID-19 Rapid Antigen Test Survey and Screening

  • To make a change to your appointment time:
    1. Scroll down to the Appointment Calendar.
    2. Select a new appointment time slot.
    3. Scroll to the bottom of the form and press submit.

    To cancel your appointment:
    1. Scroll down to the Appointment Calendar.
    2. Deselect your current appointment time slot.
    3. Scroll to the bottom of the form and press submit.

  • Please note this testing location is open Monday, Wednesday, & Friday (8:00am to 5:30pm), Tuesday & Thursday (1pm-7pm), Saturday (9am-5pm), and Sunday (9:30am - 4:30pm).

  • This is a Rapid Antigen Test. If you do not wish to receive this test, please fill out the form for the PCR Test here.

  • Patient Information

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  • Covid-19 Test and Screening

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  • Rapid antigen testing for COVID-19 is a diagnostic test that quickly and directly detects the presence or absence of SARS-CoV-2, usually within 15 minutes. While rapid antigen testing can provide results quickly, PCR provides the most accurate result and ensures that a false negative has not occurred. Rapid antigen testing is not intended for asymptomatic patients.

     

    Please note: Appointments not canceled within 24 hr of the appointment date and time will incur a $15 fee to cover administrative fees.

     

    *** If you are planning to travel, Rapid Antigen tests are often not acceptable for travel. Check your travel destination's COVID-19 testing requirements carefully to confirm acceptability of Rapid Antigen or Rapid Molecular testing***

     

    This is a cash pay only test and NxGen MDx will not be billing insurance for the rapid antigen test.

  • This is a Rapid Antigen Test. If you do not wish to receive this test, please fill out the form for the PCR Test here.

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    Rapid Antigen Test
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  • Acknowledgment: 


    I authorize the laboratory to provide my health plan with the information on this form and other information provided by my health care provider if necessary for reimbursement. I understand that the laboratory may seek prior authorization for testing from my health plan on my behalf. I also authorize all benefits from the plan to be payable directly to the laboratory, and I agree to remit to the laboratory any payment for these services made directly to me. I understand that the laboratory may be an out-of-network provider for my health plan and that I am responsible for all amounts not reimbursed by my health plan. I hereby designate the laboratory as my Authorized Representative, as provided under ERISA, 29 C.F.R § 2560.5031 (b)(4), and/or as my Attorney in Fact, for the purpose of pursuing administrative appeals to which I am entitled and, if the laboratory deems it appropriate, any legal and/or equitable claims that I could bring against my health plan, and/or its administrators, with respect to their handling or resolution of my insurance claim. 

    I understand that in certain circumstances, the laboratory is required to report test data to relevant state public health agencies.

    I agree that my de-identified specimen and test data (where information that could link me to the specimen or data has been removed, making it unlikely that I could be identified) may be retained, used and disclosed for research and/or to help develop products or services, in compliance with applicable laws. 

    I understand that I will not receive any royalties, payments, benefits or rights from any resulting products or discoveries, and that if I do not want my de-identified specimen and test data to be retained, used or disclosed for research or product development purposes I should call Customer Service at 1-855-776-9436.

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