Free BinaxNOW COVID-19 Testing at Home Enrollment Form
All public-facing employees, event attendees, individuals who cannot access other COVID-19 testing, individuals who receive exposure notifications, and students participating in extracurricular activities or youth sports are eligible to order free tests through the Colorado Department of Public Health and Environment.
Questions about how the program works or who is eligible? More details regarding the program can be found at:
Ready to sign up for free tests shipped directly to your home? Please fill out this form in its entirety to enroll in the program. You will receive instructions for how to order your test kit within one business day of submitting this form.
Please note that each person enrolling in the free program will need a unique email address (i.e. one individual cannot sign up multiple people using a single email address). Individuals are eligible to order a kit of six tests every 20 days, and are only able to order one kit at a time.
For questions, please contact
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This form was created inside of State.co.us Executive Branch.