In the past 14 days have you experienced any of the following symptoms? Fever >100, cough, fatigue, shortness of breath, change in taste or smell, nasal congestion, nausea or vomiting?
Have you been in close contact with someone who has tested positive for COVID-19 in the last 14 days?
I understand that if I select "Self-Pay" to pay for my visit that I do not have active health insurance
Are you a current smoker?
Have you ever been a smoker?
Have you received your 2023-2024 flu vaccine?
I understand that if I am registering for an Immigration Physical ONLY I will be contacted by a member of the team to discuss pricing and to collect a non-refundable $200 deposit for the visit
I acknowledge that if my reason for COVID19 testing is for Travel, work, school or social gathering we are unable to process your visit through insurance and will be charged $150
I acknowledge that if I decline an office visit with a licensed provider inside the clinic, I will be tested at the car-side with a molecular COVID19 test (PCR or Rapid) at a cost of $150
READ BEFORE CONTINUING: If you are symptomatic or exposed, booked a visit in Queue #1, and would like to process your Rapid COVID19 test through insurance you must have an exam by a licensed provider. This exam means your visit be longer than just the time it takes to perform a nasal swab. There may be delays in your appointment time if there are emergencies or other urgent patients in the clinic. We appreciate your patience and understanding. If you prefer to experience a quicker visit with no examination, please select option #2 to pay for a COVID19 test ONLY, not processed through insurance.
Would you like to receive your flu vaccine during your visit?
