You’re offline. This is a read only version of the page.
Toggle navigation
Slots Details
Slots by Location
Slot Confirmation
Appointment Success
Location Details Page
Testing Stations
Update Patient Details
Testing Locations
Testing Locations
Available Slots Details
No appointments
Consent
Wait List
New Patient Registration
Patient consent
Rescheduling Appointment
Walk-In Registration
Walk-In Registration Complete
Results Delivery via SMS message
Appointment Canceled Successfully
Covid Assessment
MDH Trailer 1
MDH Trailer 2
Sign in
Home
New Patient Registration
New Patient Registration
First Name
Last Name
Birthday (mm/dd/yyyy)
Email
Gender
Male
Female
Other
Unknown
I Do Not Wish to Answer
Mobile Phone
Home Phone
Street 1
Street 2
City
State/Province
ZIP/Postal Code
Race
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian and Other Pacific Islander
White
Other
I Do Not Wish to Answer
Ethnicity: Hispanic or Latino Origin?
Yes
No
I Do Not Wish to Answer
Self-Reg
Walk-In
ULP
Special Accommodations
Preferred language if you choose to opt in for results delivery via SMS Message (Applicable to participating testing locations)
English
Spanish
