Covid19 RT PCR Testing Appointment and Consent Form Logo

  • PCR COVID-19 Testing

    Appointment and Consent Form. Accepted by Most Major Airlines for travel!

  • The cost of the test is $100.00

    Innovative Compounding Pharmacy does not accept insurance for the Test. MUST STAY in your CAR and text or call us to come out and perform a test. Please do NOT come in the pharmacy and ensure to have proof of identification with you at time of appointment.. Thank you!!
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  •   By Signing in the box below I am stating the following: I understand that my personal information and test results will be shared with the California Department of Health.  I understand if the person being tested is under 18 years old, a parent or guardian must be present at testing. I consent to being tested by Innovative Compounding  Pharmacy Facility CLIA ID 05D2219107 and confirm that I am at least eighteen years of age or signing for a minor under the ago of eighteen. I also authorize Innovative Compounding Pharmacy to email my results to the email indicated on this form! Please Note, this is a NON-Refundable TEST. Only submit if you are committed. Thank You!  

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    ACCULA PCR Test Product Image
    ACCULA PCR Test SARS-CoV-2 testing can seem like a choice between accuracy and rapid turnaround time. The rapid Accula SARS-CoV-2 Test uses proprietary Oscar™ PCR technology to shorten thermocycling times and provide a result in 30 minutes. The Limit of Detection (LoD) is among the lowest measured for the FDA SARS-CoV-2 Reference Panel.
    $100.00
      
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