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


- 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.

-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.



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Email address:
First name: *
Last name: *
Phone Number" *
Sex: *
DOB: *
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Street Address: *
City, State, Zip code: *
County in which you reside: *
Are you over the age of 18? *
 If you selected no, please acknowledge you the parent or legal guardian of the person who's named on this form? *
Symptoms *
Required
Date of symptom onset?
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Are you employed? *
First test? *
Hospitalized *
Resident of group home setting? *
Pregnant? *
Race? *
Ethnicity? *
Primary Language *
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