Scott County - WEDCO Curbside COVID-19 Testing - Patient Information
***PLEASE READ AND DO THE FOLLOWING***

****DUE TO INCREASE IN DEMAND, YOU WILL NOT BE TESTED UNLESS YOU ARE PREREGISTERED. *****

- Registration is required for each family member, however, families will be tested together regardless of appointment time.

- WEDCO has the right to deny testing if you do not have a scheduled appointment.

- ENTER FOR TESTING THROUGH MORALES WAY

-Please do not arrive more than 15 minutes prior to your appointment.

- Bring photo ID to your appointment.

- A NEGATIVE TEST RESULT ONLY INDICATES YOU ARE NEGATIVE AT THE TIME OF TESTING. Always follow guidelines to protect yourself and your family.

- WEDCO submits COVID-19 lab specimens to Gravity Diagnostics and the following patient information is needed for their lab form. Any information not provided may delay your testing process.

Email address
First Name: *
Last Name: *
Phone Number: *
Sex *
DOB: *
MM
/
DD
/
YYYY
Street Address: *
City, State, Zip code: *
County in which you reside: *
Are you over the age of 18? *
If you are scheduling for someone other than yourself, please acknowledge you the parent or legal guardian of the person who is named on this form. *
Symptoms *
Required
College Required Testing: list college name:
Are you employed? *
Primary Language *
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