• Please complete one form for each patient that is requesting COVID-19 testing. Include form with specimen submission. By allowing us to collect your information, you are consenting to a Rapid Covid Antigen or PCR test at Southern Drug Company. Southern Drug Company does not bill insurance for this test. Some insurances may reimburse, but reimbursement is not guaranteed.

     

     

  • SOUTHERN DRUG COMPANY

    PHARMACY
  • COVID-19 RAPID ANTIGEN & RAPID PCR TEST REQUEST & RESULTS FORM

    COVID-19 RAPID ANTIGEN & RAPID PCR TEST REQUEST & RESULTS FORM

  • PATIENT INFORMATION

  • QUESTIONNAIRE

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