BioVision Group COVID-19 Test Registration

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 (Optional, if covered)
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Please let us know the following to help prioritize your test -

Current Symptoms:
















Current Medical History:










Additional Questions:



Copy of Photo ID and Insurance Card: (Optional)
Taking a photo of your state-issued ID and insurance card (front and back) will save time at check-in.


License / ID Card

Insurance Front

Insurance Back

Acknowledgement and Authorization to Test:


I additionally provide consent for testing and reporting of results by electronic and telephonic means, including email and text messages which may incur a cost by my carrier (reply STOP to cancel). I further consent as a parent or legal guardian to minors that I may have registered. If this registration was organized by my doctor, health care facility, school, place of residence, airline, or employer, I additionally provide consent to share my test results with my related entity's authorized health professionals to facilitate contact tracing and safety measures.